0001623526-19-000001.txt : 20190531 0001623526-19-000001.hdr.sgml : 20190531 20190531164328 ACCESSION NUMBER: 0001623526-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190531 DATE AS OF CHANGE: 20190531 EFFECTIVENESS DATE: 20190531 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: 021-340873 FILM NUMBER: 19871039 BUSINESS ADDRESS: STREET 1: 570 MERCER STREET CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 206-456-6680 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 X0708 D LIVE 0001608939 Vicis, Inc. 570 MERCER STREET SEATTLE WA WASHINGTON 98109 206-456-6680 DELAWARE Spark Medical, Inc. Corporation true 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 Ralph Greene C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Director Frank Walters C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Director Lynnette Frank C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Director David Auckland C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Executive Officer Other Decline to Disclose 06b false 2019-05-21 false true true false 0 5176200 0 5176200 The amounts above represent securities offered under a company service provider equity incentive plan. false 6 0 0 0 false Vicis, Inc. /s/ David L. Marver David L. Marver President & CEO 2019-05-29