0001209191-12-050845.txt : 20121029
0001209191-12-050845.hdr.sgml : 20121029
20121029155707
ACCESSION NUMBER: 0001209191-12-050845
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121025
FILED AS OF DATE: 20121029
DATE AS OF CHANGE: 20121029
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Spragens Jeffrey G
CENTRAL INDEX KEY: 0001410620
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19437
FILM NUMBER: 121166964
MAIL ADDRESS:
STREET 1: 4400 BISCAYNE BOULEVARD
STREET 2: SUITE 1500
CITY: MIAMI
STATE: FL
ZIP: 33137
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SafeStitch Medical, Inc.
CENTRAL INDEX KEY: 0000876378
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 112962080
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4400 BISCAYNE BLVD.
STREET 2: SUITE A-100
CITY: MIAMI
STATE: FL
ZIP: 33137
BUSINESS PHONE: 305-575-4600
MAIL ADDRESS:
STREET 1: 4400 BISCAYNE BLVD.
STREET 2: SUITE A-100
CITY: MIAMI
STATE: FL
ZIP: 33137
FORMER COMPANY:
FORMER CONFORMED NAME: CELLULAR TECHNICAL SERVICES CO INC
DATE OF NAME CHANGE: 19930328
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-10-25
0
0000876378
SafeStitch Medical, Inc.
SFES
0001410620
Spragens Jeffrey G
4400 BISCAYNE BLVD
MIAMI
FL
33137
1
1
1
0
President and CEO
Common Stock
2012-10-25
4
X
0
20138
0.25
A
2145285
D
Common Stock
562818
I
Held by Joy Fowler Spragens Family Trust
Common Stock
571015
I
Held by RSLS Investments LLC
Warrants
0.25
2012-10-25
4
X
0
20138
0.00
D
2007-09-04
2017-09-04
Common Stock
20138
0
D
The Joy Fowler Spragens Trust is an irrevocable trust established by Mr. Spragens' spouse for the benefit of her descendants and relatives who are unrelated to Mr. Spragens. Mr. Spragens disclaims any beneficial ownership of these shares.
RSLS Investments LLC is 100% owned by Mr. Spragens' adult children. Although Mr. Spragens is the manager of RSLS Investments LLC, he disclaims any beneficial ownership of these shares.
/s/ Jeffrey G. Spragens
2012-10-29