0001660813-15-000001.txt : 20151221 0001660813-15-000001.hdr.sgml : 20151221 20151221144609 ACCESSION NUMBER: 0001660813-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151221 DATE AS OF CHANGE: 20151221 EFFECTIVENESS DATE: 20151221 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Andarta Medical, Inc. CENTRAL INDEX KEY: 0001660813 IRS NUMBER: 810686923 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-253518 FILM NUMBER: 151299225 BUSINESS ADDRESS: STREET 1: P.O. BOX 251 STREET 2: 5021 VERNON AVENUE CITY: EDINA STATE: MN ZIP: 55436 BUSINESS PHONE: 952-807-1371 MAIL ADDRESS: STREET 1: P.O. BOX 251 STREET 2: 5021 VERNON AVENUE CITY: EDINA STATE: MN ZIP: 55436 D 1 primary_doc.xml X0707 D LIVE 0001660813 Andarta Medical, Inc. BOX 251 5021 VERNON AVENUE EDINA MN MINNESOTA 55436 952-807-1371 DELAWARE None None Corporation true 2015 Patrick J Wethington P.O Box 251 5021 Vernon Avenue Edina MN MINNESOTA 55436 Executive Officer Director James J Bullock P.O Box 251 5021 Vernon Avenue Edina MN MINNESOTA 55436 Director J.A. J Katarincic, Jr. P.O Box 251 5021 Vernon Avenue Edina MN MINNESOTA 55436 Director Other Health Care Decline to Disclose 06b false 2015-12-08 false true false 1 1900000 1900000 0 false 4 0 0 0 Excludes normal compensation for officers. false Andarta Medical, Inc. s/Patrick Wethington Patrick Wethington President and CEO 2015-12-21