0001362118-16-000045.txt : 20160523 0001362118-16-000045.hdr.sgml : 20160523 20160523084154 ACCESSION NUMBER: 0001362118-16-000045 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160523 DATE AS OF CHANGE: 20160523 EFFECTIVENESS DATE: 20160523 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ICHOR VASCULAR, INC. CENTRAL INDEX KEY: 0001673253 IRS NUMBER: 472453097 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-263643 FILM NUMBER: 161667872 BUSINESS ADDRESS: STREET 1: P.O. BOX 248 CITY: NORTH WEBSTER STATE: IN ZIP: 46555 BUSINESS PHONE: 574-527-4227 MAIL ADDRESS: STREET 1: P.O. BOX 248 CITY: NORTH WEBSTER STATE: IN ZIP: 46555 D 1 primary_doc.xml X0707 D LIVE 0001673253 ICHOR VASCULAR, INC. Box 248 NORTH WEBSTER IN INDIANA 46555 574-527-4227 MINNESOTA None None Corporation true 2014 JEFF BLAIR PO BOX 248 N WEBSTER IN INDIANA 46555 Executive Officer Director TROY LONG PO BOX 248 N WEBSTER IN INDIANA 46555 Executive Officer Director Other Health Care Decline to Disclose 06b false 2016-04-11 false true false 0 202499 202499 0 false 4 0 0 0 false ICHOR VASCULAR, INC. /s/ Jeffrey Blair Jeffrey Blair Chairman 2016-05-20