0001650077-15-000001.txt : 20150805 0001650077-15-000001.hdr.sgml : 20150805 20150805114545 ACCESSION NUMBER: 0001650077-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150805 DATE AS OF CHANGE: 20150805 EFFECTIVENESS DATE: 20150805 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Entac Medical, LLC CENTRAL INDEX KEY: 0001650077 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-245104 FILM NUMBER: 151028025 BUSINESS ADDRESS: STREET 1: 2240 LANSINGWOOD DRIVE CITY: GERMANTOWN STATE: TN ZIP: 38139 BUSINESS PHONE: 901-292-3420 MAIL ADDRESS: STREET 1: 2240 LANSINGWOOD DRIVE CITY: GERMANTOWN STATE: TN ZIP: 38139 D 1 primary_doc.xml X0707 D LIVE 0001650077 Entac Medical, LLC 2240 LANSINGWOOD DRIVE GERMANTOWN TN TENNESSEE 38139 901-292-3420 DELAWARE None None Limited Liability Company true 2011 Burley L. Lyons Jr. 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Director John W. Cromwell, MD 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Dr. Cromwell is a Member of the Issuer. Roger Dale Criner Jr., MD 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Dr. Criner Jr. is a Member of the Issuer. Dudley B. Pillow 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Mr. Pillow is a Member of the Issuer. n/a Prosperitas LLC 103 Carnegie Center Suite 300 Princeton NJ NEW JERSEY 08540 Executive Officer Prosperitas LLC is a Member of the Issuer. M. Andrew Forsdick 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Mr. Forsdick is a Member of the Issuer. Michael P. Savage 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Mr. Savage is a Member of the Issuer. Eric A. Rojas 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Mr. Rojas is a Member of the Issuer. Nicholas Bursi 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Mr. Bursi is a Member of the Issuer. Brian Kellett 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Mr. Kellett is a Member of the Issuer. John Sneed 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Mr. Sneed is a Member of the Issuer. Tom Charlier 2240 Lansingwood Drive Germantown TN TENNESSEE 38139 Executive Officer Mr. Charlier is a Member of the Issuer. n/a University of Tennessee Research Foundation 1534 White Avenue Knoxville TN TENNESSEE 37996 Executive Officer University of Tennessee Research Foundation is a Member of the Issuer. Biotechnology Decline to Disclose 06b false 2015-07-17 false true false 0 500000 250000 250000 An additional $470,000 may be subscribed for however is not required to close the offering. false 1 0 10000 true 0 false Entac Medical, LLC /s/ Burley L. Lyons Jr. Burley L. Lyons Jr. Chief Executive Officer 2015-08-05