0001604459-14-000001.txt : 20140404 0001604459-14-000001.hdr.sgml : 20140404 20140404123259 ACCESSION NUMBER: 0001604459-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140404 DATE AS OF CHANGE: 20140404 EFFECTIVENESS DATE: 20140404 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RefleXion Medical, Inc. CENTRAL INDEX KEY: 0001604459 IRS NUMBER: 264487874 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-214930 FILM NUMBER: 14745095 BUSINESS ADDRESS: STREET 1: 1633 BAYSHORE HIGHWAY, SUITE 126 CITY: BURLINGAME STATE: X1 ZIP: 94010 BUSINESS PHONE: 650-239-9070 MAIL ADDRESS: STREET 1: 1633 BAYSHORE HIGHWAY, SUITE 126 CITY: BURLINGAME STATE: X1 ZIP: 94010 D 1 primary_doc.xml X0707 D LIVE 0001604459 RefleXion Medical, Inc. 1633 BAYSHORE HIGHWAY, SUITE 126 BURLINGAME X1 UNITED STATES 94010 650-239-9070 DELAWARE RefleXion, Inc. None Corporation true Samuel Mazin 1633 Bayshore Highway, Suite 126 Burlingame CA CALIFORNIA 94010 Executive Officer Director Akshay Nanduri 1633 Bayshore Highway, Suite 126 Burlingame CA CALIFORNIA 94010 Executive Officer Director Jay Watkins 1633 Bayshore Highway, Suite 126 Burlingame CA CALIFORNIA 94010 Director Other Health Care Decline to Disclose 06b false 2014-03-20 false true false 0 11644117 6144117 5500000 false 19 0 0 80000 false RefleXion Medical, Inc. /s/ Samuel Mazin Samuel Mazin President 2014-04-04