0001608939-16-000004.txt : 20161013 0001608939-16-000004.hdr.sgml : 20161013 20161012174435 ACCESSION NUMBER: 0001608939-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161013 DATE AS OF CHANGE: 20161012 EFFECTIVENESS DATE: 20161013 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Vicis, 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: 021-272340 FILM NUMBER: 161933774 BUSINESS ADDRESS: STREET 1: 570 MERCER STREET CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 425-246-7799 MAIL ADDRESS: STREET 1: 570 MERCER STREET CITY: SEATTLE STATE: WA ZIP: 98109 FORMER COMPANY: FORMER CONFORMED NAME: Spark Medical, Inc. DATE OF NAME CHANGE: 20140522 D 1 primary_doc.xml X0707 D LIVE 0001608939 Vicis, Inc. 570 MERCER STREET SEATTLE WA WASHINGTON 98109 425-246-7799 DELAWARE Spark Medical, Inc. Corporation true 2014 DAVID MARVER C/O VICIS, INC. 570 MERCER ST. SEATTLE WA WASHINGTON 98109 Executive Officer Director SAMUEL BROWD C/O VICIS, INC. 570 MERCER ST. SEATTLE WA WASHINGTON 98109 Executive Officer Director PER REINHALL C/O VICIS, INC. 570 MERCER ST. SEATTLE WA WASHINGTON 98109 Executive Officer Director ALAN BRUCE MONTGOMERY C/O VICIS, INC. 570 MERCER ST. SEATTLE WA WASHINGTON 98109 Director WILLIAM AYER C/O VICIS, INC. 570 MERCER ST. SEATTLE WA WASHINGTON 98109 Director Other Decline to Disclose 06b false 2016-10-07 false true true true false 0 10000000 3955000 6045000 false 37 0 0 0 false Vicis, Inc. /s/ David L. Marver David L. Marver President & CEO 2016-10-11