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
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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