0001548571-12-000001.txt : 20120504
0001548571-12-000001.hdr.sgml : 20120504
20120504131257
ACCESSION NUMBER: 0001548571-12-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506
FILED AS OF DATE: 20120504
DATE AS OF CHANGE: 20120504
EFFECTIVENESS DATE: 20120504
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ivera Medical Corp
CENTRAL INDEX KEY: 0001548571
IRS NUMBER: 208663991
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-177696
FILM NUMBER: 12813225
BUSINESS ADDRESS:
STREET 1: 3525 DEL MAR HEIGHTS ROAD
STREET 2: SUITE 430
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
BUSINESS PHONE: (760) 612-6090
MAIL ADDRESS:
STREET 1: 3525 DEL MAR HEIGHTS ROAD
STREET 2: SUITE 430
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
D
1
primary_doc.xml
X0705
D
LIVE
0001548571
Ivera Medical Corp
3525 DEL MAR HEIGHTS ROAD
SUITE 430
SAN DIEGO
CA
CALIFORNIA
92130
(760) 612-6090
CALIFORNIA
122 Corporation
None
Corporation
true
2007
Bobby
E.
Rogers
3525 Del Mar Heights Road
Suite 430
San Diego
CA
CALIFORNIA
92130
Executive Officer
Director
Jack
Olshansky
78350 Sunrise Canyon
Palm Desert
CA
CALIFORNIA
92211
Director
Eddie
Rodriguez
3580 Carmel Mountain Road
Suite 300
San Diego
CA
CALIFORNIA
92130
Director
John
Sasso
1129 Forrest Hill Drive
No. 577
Gwynedd Valley
PA
PENNSYLVANIA
19437-0577
Director
John
W.
Sparacio
218-6th Avenue
Kirkland
WA
WASHINGTON
98033
Director
Other Health Care
Decline to Disclose
- 06
false
2011-11-30
false
true
false
0
2500000
1265739
1234261
false
13
0
0
0
false
Ivera Medical Corp
/s/ Bobby E. Rogers
Bobby E. Rogers
CEO and President
2012-05-04