0001548571-13-000001.txt : 20130422
0001548571-13-000001.hdr.sgml : 20130422
20130422164348
ACCESSION NUMBER: 0001548571-13-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506
FILED AS OF DATE: 20130422
DATE AS OF CHANGE: 20130422
EFFECTIVENESS DATE: 20130422
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: 021-195354
FILM NUMBER: 13774262
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
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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
Bobby
E.
Rogers
3525 Del Mar Heights Road
Suite 430
San Diego
CA
CALIFORNIA
92130
Executive Officer
Director
Jack
Olshansky
36432 Crown Street
Palm Desert
CA
CALIFORNIA
92211-2372
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
Director
John
Sparacio
218-6th Avenue
Kirkland
WA
WASHINGTON
98033
Director
Other Health Care
Decline to Disclose
- 06
false
2012-07-27
false
true
true
true
true
false
0
3550500
2799152
751348
false
23
0
0
0
false
Ivera Medical Corp
/s/ Bobby E. Rogers
Bobby E. Rogers
CEO
2013-04-22