0001705979-17-000001.txt : 20170508 0001705979-17-000001.hdr.sgml : 20170508 20170505184952 ACCESSION NUMBER: 0001705979-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170508 DATE AS OF CHANGE: 20170505 EFFECTIVENESS DATE: 20170508 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Insight Medical Systems, Inc. CENTRAL INDEX KEY: 0001705979 IRS NUMBER: 813365597 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-286183 FILM NUMBER: 17819904 BUSINESS ADDRESS: STREET 1: 25892 LA CUESTA AVENUE CITY: LAGUNA HILLS STATE: CA ZIP: 92653 BUSINESS PHONE: 858-225-9882 MAIL ADDRESS: STREET 1: 25892 LA CUESTA AVENUE CITY: LAGUNA HILLS STATE: CA ZIP: 92653 D 1 primary_doc.xml X0707 D LIVE 0001705979 Insight Medical Systems, Inc. 25892 LA CUESTA AVENUE LAGUNA HILLS CA CALIFORNIA 92653 858-225-9882 DELAWARE None None Corporation true 2016 Nicholas van der Walt c/o Insight Medical Systems, Inc. 25892 La Cuesta Avenue Laguna Hills CA CALIFORNIA 92653 Executive Officer Director Matthew Ryan c/o Insight Medical Systems, Inc. 25892 La Cuesta Avenue Laguna Hills CA CALIFORNIA 92653 Executive Officer Director Andrew Hartman c/o Insight Medical Systems, Inc. 25892 La Cuesta Avenue Laguna Hills CA CALIFORNIA 92653 Executive Officer Director Other Technology Decline to Disclose 06b false 2017-04-26 false true true true false 0 1250000 263273 986727 false 11 0 0 0 false Insight Medical Systems, Inc. Nicholas van der Walt Nicholas van der Walt President and Chief Executive Officer 2017-05-05