0001604459-16-000002.txt : 20160419 0001604459-16-000002.hdr.sgml : 20160419 20160419140920 ACCESSION NUMBER: 0001604459-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160419 DATE AS OF CHANGE: 20160419 EFFECTIVENESS DATE: 20160419 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: 021-261633 FILM NUMBER: 161578805 BUSINESS ADDRESS: STREET 1: 25821 INDUSTRIAL BLVD, STE. 200 CITY: HAYWARD STATE: X1 ZIP: 94545 BUSINESS PHONE: 650-521-5916 MAIL ADDRESS: STREET 1: 25821 INDUSTRIAL BLVD, STE. 200 CITY: HAYWARD STATE: X1 ZIP: 94545 D 1 primary_doc.xml X0707 D LIVE 0001604459 RefleXion Medical, Inc. 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD X1 UNITED STATES 94545 650-521-5916 DELAWARE RefleXion, Inc. None Corporation true Samuel Mazin 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Executive Officer Director Akshay Nanduri 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Executive Officer Director Antoine Papiernik 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Director Jay Watkins 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Director William Burkoth 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Director Colin Cahill 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Director Fred Moll 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Director Nael Kassar 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Director Greg Garfield 25821 INDUSTRIAL BLVD, STE. 200 HAYWARD CA CALIFORNIA 94545 Director Other Health Care Decline to Disclose 06b false 2016-04-05 true true false 0 51999998 23000000 28999998 false 5 0 0 0 false RefleXion Medical, Inc. /s/ Samuel Mazin Samuel Mazin President 2016-04-19