0001209191-18-060278.txt : 20181129 0001209191-18-060278.hdr.sgml : 20181129 20181129172748 ACCESSION NUMBER: 0001209191-18-060278 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181129 DATE AS OF CHANGE: 20181129 EFFECTIVENESS DATE: 20181129 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NxPHASE Medical, Inc. CENTRAL INDEX KEY: 0001760157 IRS NUMBER: 825199867 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-326880 FILM NUMBER: 181209272 BUSINESS ADDRESS: STREET 1: 7351 KIRKWOOD LANE N STREET 2: SUITE 138 CITY: MAPLE GROVE STATE: MN ZIP: 55369 BUSINESS PHONE: 763-412-1960 MAIL ADDRESS: STREET 1: 7351 KIRKWOOD LANE N STREET 2: SUITE 138 CITY: MAPLE GROVE STATE: MN ZIP: 55369 D/A 1 primary_doc.xml X0708 D/A LIVE 0001760157 NxPHASE Medical, Inc. 7351 Kirkwood Lane N. Suite 138 Maple Grove MN MINNESOTA 55369 763-412-1960 DELAWARE None None Corporation true 2018 Michael Kujak 7351 Kirkwood Lane N. Suite 138 Maple Grove MN MINNESOTA 55369 Executive Officer Director Jan Garfinkle 7351 Kirkwood Lane N Suite 138 Maple Grove MN MINNESOTA 55369 Director David Adair 7351 Kirkwood Lane N Suite 138 Maple Grove MN MINNESOTA 55369 Director Andre de Bruin 7351 Kirkwood Lane N Suite 138 Maple Grove MN MINNESOTA 55369 Director Michael Hoey 7351 Kirkwood Lane N Suite 138 Maple Grove MN MINNESOTA 55369 Executive Officer Director Other Health Care Decline to Disclose 06b true 0001209191-18-060243 2018-11-16 false true true Series A Preferred Stock true Issued in connection with and pursuant to a letter agreement related to an Agreement and Plan of Merger under which the Issuer was formed. 0 18084000 10084000 8000000 false 14 0 0 0 false NxPHASE Medical, Inc. /s/ Michael Kujak Michael Kujak President and Chief Executive Officer 2018-11-29