0001677738-18-000001.txt : 20180619 0001677738-18-000001.hdr.sgml : 20180619 20180618173123 ACCESSION NUMBER: 0001677738-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180619 DATE AS OF CHANGE: 20180618 EFFECTIVENESS DATE: 20180619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IC Surgical, Inc. CENTRAL INDEX KEY: 0001677738 IRS NUMBER: 471818192 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-314820 FILM NUMBER: 18905509 BUSINESS ADDRESS: STREET 1: 555 MIDTOWNE ST NE STREET 2: SUITE 111 CITY: GRAND RAPIDS STATE: MI ZIP: 49503 BUSINESS PHONE: 908-901-9940 MAIL ADDRESS: STREET 1: 555 MIDTOWNE ST NE STREET 2: SUITE 111 CITY: GRAND RAPIDS STATE: MI ZIP: 49503 D 1 primary_doc.xml X0708 D LIVE 0001677738 IC Surgical, Inc. 68 MORGAN LANE BASKING RIDGE NJ NEW JERSEY 07920 9089019940 DELAWARE None None Corporation true 2014 Bradley Paul Bengtson 2420 Glen Echo DR SE Grand Rapids MI MICHIGAN 49546 Director Lisa Nora Colleran 68 Morgan Lane Basking Ridge NJ NEW JERSEY 07920 Director Sheryl Ann Mueller 5122 Alexander Drive Racine WI WISCONSIN 53402 Director Ronald John Novotny 1538 N. Courtland Drive Arlington Heights IL ILLINOIS 60004 Director Other Health Care $1,000,001 - $5,000,000 06b false 2018-06-04 false true false 100000 6000000 1000000 5000000 false 2 0 0 200000 true false IC Surgical, Inc. Ronald John Novotny Ronald John Novotny Chief Operating Officer 2018-06-18