0001564514-12-000001.txt : 20121218 0001564514-12-000001.hdr.sgml : 20121218 20121218143437 ACCESSION NUMBER: 0001564514-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20121218 DATE AS OF CHANGE: 20121218 EFFECTIVENESS DATE: 20121218 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Restore Medical Solutions, Inc. CENTRAL INDEX KEY: 0001564514 IRS NUMBER: 455283667 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-188555 FILM NUMBER: 121271033 BUSINESS ADDRESS: STREET 1: 20 S. DUDLEY ST. CITY: MEMPHIS STATE: TN ZIP: 38103 BUSINESS PHONE: 678-381-6532 MAIL ADDRESS: STREET 1: 20 S. DUDLEY ST. CITY: MEMPHIS STATE: TN ZIP: 38103 D 1 primary_doc.xml X0706 D LIVE 0001564514 Restore Medical Solutions, Inc. 20 S. DUDLEY ST. MEMPHIS TN TENNESSEE 38103 678-381-6532 TENNESSEE None None Corporation true 2012 Ryan Ramkhelawan 20 S. Dudley St. Memphis TN TENNESSEE 38103 Executive Officer Director President Shawn Flynn 20 S. Dudley St. Memphis TN TENNESSEE 38103 Executive Officer Director Secretary Jan Bouten 20 S. Dudley St. Memphis TN TENNESSEE 38103 Director Gary Stevenson 17 West Pontotoc Suite 200 Memphis TN TENNESSEE 38103 Director Other Health Care Decline to Disclose 06 false 2012-12-04 false true false 0 N/A None None None N/A N/A TN TENNESSEE 00000 TN TENNESSEE false 2500000 1000000 1500000 false 2 0 0 0 false Restore Medical Solutions, Inc. /s/ Ryan Ramkhelawan Ryan Ramkhelawan President 2012-12-18