0001686266-16-000004.txt : 20161121 0001686266-16-000004.hdr.sgml : 20161121 20161121103157 ACCESSION NUMBER: 0001686266-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161121 DATE AS OF CHANGE: 20161121 EFFECTIVENESS DATE: 20161121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Monteris Medical US, Inc. CENTRAL INDEX KEY: 0001625785 IRS NUMBER: 455579046 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274855 FILM NUMBER: 162009365 BUSINESS ADDRESS: STREET 1: 16305 36TH AVENUE NORTH STREET 2: SUITE 200 CITY: PLYMOUTH STATE: MN ZIP: 55446 BUSINESS PHONE: 204-272-2220 MAIL ADDRESS: STREET 1: 16305 36TH AVENUE NORTH STREET 2: SUITE 200 CITY: PLYMOUTH STATE: MN ZIP: 55446 D 1 primary_doc.xml X0707 D LIVE 0001625785 Monteris Medical US, Inc. 14755 27th Ave North Suite C PLYMOUTH MN MINNESOTA 55447 204-272-2220 DELAWARE None None Corporation true 2012 James Richardson 14755 27th AVE NORTH Suite C PLYMOUTH MN MINNESOTA 55447 Director GREGORY BARRETT 14755 27th AVE NORTH SUITE C PLYMOUTH MN MINNESOTA 55447 Director DANIEL COLE 14755 27th AVE NORTH SUITE C PLYMOUTH MN MINNESOTA 55447 Director MARTIN EMERSON 14755 27th AVE NORTH SUITE C PLYMOUTH MN MINNESOTA 55447 Executive Officer Director MATTHEW STROBECK 14755 27th AVE NORTH SUITE C PLYMOUTH MN MINNESOTA 55447 Director RICHARD EMMITT 14755 27th AVE NORTH SUITE C PLYMOUTH MN MINNESOTA 55447 Director JAMES REINSTEIN 14755 27th AVE NORTH SUITE C PLYMOUTH MN MINNESOTA 55447 Director JAMES ERICKSON 14755 27th AVE NORTH SUITE C PLYMOUTH MN MINNESOTA 55447 Executive Officer Other Health Care Decline to Disclose 06b false 2016-11-10 false true true false 0 10000000 6830567 3169433 false 2 0 0 0 false Monteris Medical US, Inc. /s/ James Erickson James Erickson Chief Financial Officer 2016-11-18