0001608939-14-000001.txt : 20140620 0001608939-14-000001.hdr.sgml : 20140620 20140619191048 ACCESSION NUMBER: 0001608939-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140620 DATE AS OF CHANGE: 20140619 EFFECTIVENESS DATE: 20140620 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Spark Medical, Inc. CENTRAL INDEX KEY: 0001608939 IRS NUMBER: 611737308 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-219549 FILM NUMBER: 14931274 BUSINESS ADDRESS: STREET 1: 4111 EAST MADISON STREET, SUITE 68 CITY: SEATTLE STATE: WA ZIP: 98221 BUSINESS PHONE: 425-246-7799 MAIL ADDRESS: STREET 1: 4111 EAST MADISON STREET, SUITE 68 CITY: SEATTLE STATE: WA ZIP: 98221 D 1 primary_doc.xml X0707 D LIVE 0001608939 Spark Medical, Inc. 4111 EAST MADISON STREET, SUITE 68 SEATTLE WA WASHINGTON 98112 425-246-7799 DELAWARE None None Corporation true 2014 DAVID MARVER 4111 E MADISON STREET, STE. 68 SEATTLE WA WASHINGTON 98112 Executive Officer Director SAMUEL BROWD 4111 E MADISON STREET, STE. 68 SEATTLE WA WASHINGTON 98112 Executive Officer Director PER REINHALL 4111 E MADISON STREET, STE. 68 SEATTLE WA WASHINGTON 98112 Executive Officer Director JONATHAN POSNER 4111 E MADISON STREET, STE. 68 SEATTLE WA WASHINGTON 98112 Executive Officer Director Manufacturing Decline to Disclose 06b false 2014-06-19 false true true Debt is convertible, under certain circumstances, into issuer equity false 0 1500000 500000 1000000 false 2 0 0 0 false Spark Medical, Inc. /s/ David Marver David Marver President & CEO 2014-06-19