-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TeWJFYhH9l47mMr9G9FsQ6qbZM1KG98uesdnWurkR7WxCSKBqIvC+IhFWH44cV06 n0LDF6QUspvo6Xznx8EwXQ== 0001181431-10-002766.txt : 20100112 0001181431-10-002766.hdr.sgml : 20100112 20100112172725 ACCESSION NUMBER: 0001181431-10-002766 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20100112 DATE AS OF CHANGE: 20100112 EFFECTIVENESS DATE: 20100112 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CHF SOLUTIONS INC CENTRAL INDEX KEY: 0001172989 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-43181 FILM NUMBER: 10523394 BUSINESS ADDRESS: STREET 1: 7601 NORTHLAND DRIVE STREET 2: SUITE 170 CITY: BROOKLYN PARK STATE: MN ZIP: 55428 BUSINESS PHONE: 7634634640 MAIL ADDRESS: STREET 1: 7601 NORTHLAND DRIVE STREET 2: SUITE 170 CITY: BROOKLYN PARK STATE: MN ZIP: 55428 D 1 primary_doc.xml X0603 D LIVE 0001172989 CHF SOLUTIONS INC 7601 Northland Dr - Suite 170 Brooklyn Park MN 55428 763-463-4640 DELAWARE Intellicardia, Inc. None Corporation true Ronald M Nelson 7601 Northland Drive Suite 170 Brooklyn Park MN 55428 Executive Officer Arthur Benvenuto 7601 Northland Drive Suite 170 Brooklyn Park MN 55428 Director David B Springer 7601 Northland Drive Suite 170 Brooklyn Park MN 55428 Executive Officer Director Kurt Wheeler 7601 Northland Drive Suite 170 Brooklyn Park MN 55428 Director Stephen Campe 7601 Northland Drive Suite 170 Brooklyn Park MN 55428 Director James Garvey 7601 Northland Drive Suite 170 Brooklyn Park MN 55428 Director Patrick Wethington 7601 Northland Drive Suite 170 Brooklyn Park MN 55428 Executive Officer John O'Mahony 7601 Northland Drive Suite 170 Brooklyn Park MN 55428 Executive Officer Manufacturing Decline to Disclose 06 false 2009-12-31 false true true Series E Preferred Shares to be issued upon exercise of warrants and conversion of notes, contingent upon closing true Issuance of Series E Preferred shares issued upon exercise of Warrants and conversion of Notes is contingent upon closing. 0 2343657 1818657 525000 Exercise of Warrants and conversion of Notes contingent upon closing false 59 0 0 0 true CHF Solutions Inc /s/ Ronald W. Nelson Ronald W. Nelson Chief Financial Officer 2010-01-12 -----END PRIVACY-ENHANCED MESSAGE-----