-----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, A0QGlEqMnR6+MaWmtW1jLWeX6J9Nc96tPGOkTyBjjFV3Ar4oM6bbeAdYkVS7pt6L 975Y+jTs9q5f61UrM8EenA== 0001104659-10-059782.txt : 20101123 0001104659-10-059782.hdr.sgml : 20101123 20101123165410 ACCESSION NUMBER: 0001104659-10-059782 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20101123 DATE AS OF CHANGE: 20101123 EFFECTIVENESS DATE: 20101123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Avantis Medical Systems Inc CENTRAL INDEX KEY: 0001325768 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-150966 FILM NUMBER: 101212222 BUSINESS ADDRESS: STREET 1: 263 SANTA ANA COURT CITY: SUNNYVALE STATE: CA ZIP: 94085 BUSINESS PHONE: 408-733-1901 MAIL ADDRESS: STREET 1: 263 SANTA ANA COURT CITY: SUNNYVALE STATE: CA ZIP: 94085 D 1 primary_doc.xml X0704 D LIVE 0001325768 Avantis Medical Systems Inc 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 408-733-1901 CALIFORNIA None None Corporation true Thomas Fogarty 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director Matthew Jenusaitis 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Executive Officer Director Camran Nezhat 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director Howard Palefsky 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director John Reed 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94043 Executive Officer Mark TenBoer 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94043 Executive Officer Other Health Care Decline to Disclose 06 false 2010-11-18 false true true true false 25000 1500150 1500150 0 false 7 0 0 0 false Avantis Medical Systems Inc /s/ Ann Coppel Ann Coppel Sr. Legal Assistant 2010-11-23 -----END PRIVACY-ENHANCED MESSAGE-----