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