0001632359-15-000003.txt : 20151106 0001632359-15-000003.hdr.sgml : 20151106 20151106105444 ACCESSION NUMBER: 0001632359-15-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151106 DATE AS OF CHANGE: 20151106 EFFECTIVENESS DATE: 20151106 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Video Medicine, Inc. CENTRAL INDEX KEY: 0001632359 IRS NUMBER: 465411441 STATE OF INCORPORATION: WY FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-250813 FILM NUMBER: 151202992 BUSINESS ADDRESS: STREET 1: 690 S. HIGHWAY 89 STREET 2: SUITE 200, BOX 10219 CITY: JACKSON STATE: WY ZIP: 83002 BUSINESS PHONE: (800)977-9651 MAIL ADDRESS: STREET 1: 690 S. HIGHWAY 89 STREET 2: SUITE 200, BOX 10219 CITY: JACKSON STATE: WY ZIP: 83002 D 1 primary_doc.xml X0707 D LIVE 0001632359 Video Medicine, Inc. 65 E. WACKER PLACE SUITE 1600 CHICAGO IL ILLINOIS 60601 (800) 977-9651 WYOMING None None Corporation true 2014 Charles Butler 65 E. WACKER PLACE SUITE 1600 CHICAGO IL ILLINOIS 60601 Executive Officer Director Frederick Feit 65 E. WACKER PLACE SUITE 1600 CHICAGO IL ILLINOIS 60601 Director Eugene Hsu 65 E. WACKER PLACE SUITE 1600 CHICAGO IL ILLINOIS 60601 Director Brent Furse 65 E. WACKER PLACE SUITE 1600 CHICAGO IL ILLINOIS 83002 Executive Officer Director Other Technology Decline to Disclose 06b false true false true false 1 1500000 0 1500000 false 0 0 0 0 false Video Medicine, Inc. /s/ Brent Furse Brent Furse Chief Executive Officer 2015-11-06