0001511538-17-000001.txt : 20170511 0001511538-17-000001.hdr.sgml : 20170511 20170511105657 ACCESSION NUMBER: 0001511538-17-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170511 DATE AS OF CHANGE: 20170511 EFFECTIVENESS DATE: 20170511 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Securisyn Medical, LLC CENTRAL INDEX KEY: 0001511538 IRS NUMBER: 274429433 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-155445 FILM NUMBER: 17832942 BUSINESS ADDRESS: STREET 1: 8 RED BIRCH CITY: LITTLETON STATE: CO ZIP: 80127 BUSINESS PHONE: 303-594-6895 MAIL ADDRESS: STREET 1: 8 RED BIRCH CITY: LITTLETON STATE: CO ZIP: 80127 D/A 1 primary_doc.xml X0707 D/A LIVE 0001511538 Securisyn Medical, LLC 9150 Commerce Center Circle Suite 135 Highlands Ranch CO COLORADO 80129 303-594-6895 COLORADO None None Limited Liability Company true ARTHUR KANOWITZ 9150 Commerce Center Circle Suite 135 Highlands Ranch CO COLORADO 80129 Executive Officer Director Promoter Manager, Chairman, and Chief Medical Officer ELYSE BLAZEVICH 9150 Commerce Center Circle Suite 135 Highlands Ranch CO COLORADO 80129 Executive Officer Director Promoter Manager, Chief Operating Officer, and Chief Financial Office Mark Bruning 9150 Commerce Center Circle Suite 135 Highlands Ranch CO COLORADO 80129 Executive Officer Chief Executive Officer Other Health Care Decline to Disclose 06b true 0001511538-16-000001 2011-02-15 true true false 25000 5000000 4104750 895250 Total Offering Amount and Total Amount Sold includes the amounts reported in the Form D filed by the Issuer on October 11, 2012, as amended September 16, 2014, and as further amended September 12, 2016. true 24 77 0 0 378000 true Among other things as described in the issuer's offering materials, the proceeds of this offering will be used for general working capital that will include guaranteed payments to the executive officers. false Securisyn Medical, LLC /s/ Elyse Blazevich Elyse Blazevich Chief Operating Officer & Manager 2017-05-10