0001675786-16-000001.txt : 20160712 0001675786-16-000001.hdr.sgml : 20160712 20160712151849 ACCESSION NUMBER: 0001675786-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160712 DATE AS OF CHANGE: 20160712 EFFECTIVENESS DATE: 20160712 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Invicta Medical, Inc. CENTRAL INDEX KEY: 0001675786 IRS NUMBER: 461990059 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-266820 FILM NUMBER: 161763899 BUSINESS ADDRESS: STREET 1: 16 BERENDA WAY CITY: PORTOLA VALLEY STATE: CA ZIP: 94028 BUSINESS PHONE: 650-868-7049 MAIL ADDRESS: STREET 1: 16 BERENDA WAY CITY: PORTOLA VALLEY STATE: CA ZIP: 94028 D 1 primary_doc.xml X0707 D LIVE 0001675786 Invicta Medical, Inc. 16 BERENDA WAY PORTOLA VALLEY CA CALIFORNIA 94028 650-868-7049 DELAWARE None None Corporation true 2013 Steven T. Kent c/o Invicta Medical, Inc. 16 Berenda Way Portola Valley CA CALIFORNIA 94028 Executive Officer Director Harold Kent c/o Invicta Medical, Inc. 16 Berenda Way Portola Valley CA CALIFORNIA 94028 Executive Officer Director William Deihl c/o Invicta Medical, Inc. 16 Berenda Way Portola Valley CA CALIFORNIA 94028 Executive Officer Jason Camm c/o Thiel Capital LLC 1 Letterman Dr. Bldg C, Suite 400 San Francisco CA CALIFORNIA 94129 Director Other Decline to Disclose 06b false 2016-07-01 false true false 0 7109214 5472937 1636277 false 32 0 0 0 false Invicta Medical, Inc. /s/ Steven T. Kent Steven T. Kent President & CEO 2016-07-12