0001677738-19-000001.txt : 20190711 0001677738-19-000001.hdr.sgml : 20190711 20190711120501 ACCESSION NUMBER: 0001677738-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190711 DATE AS OF CHANGE: 20190711 EFFECTIVENESS DATE: 20190711 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: 021-343998 FILM NUMBER: 19950722 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. 555 MIDTOWNE ST NE SUITE 111 GRAND RAPIDS MI MICHIGAN 49503 908-901-9940 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 2019-07-03 false true false 25000 1500000 150000 1350000 false 1 0 0 150000 true false IC Surgical, Inc. Ron Novotny Ronald John Novotny Chief Operating Officer 2019-07-11