0001356688-14-000002.txt : 20140507 0001356688-14-000002.hdr.sgml : 20140507 20140506200445 ACCESSION NUMBER: 0001356688-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140507 DATE AS OF CHANGE: 20140506 EFFECTIVENESS DATE: 20140507 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ENDOGASTRIC SOLUTIONS INC CENTRAL INDEX KEY: 0001356688 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-216911 FILM NUMBER: 14818614 BUSINESS ADDRESS: STREET 1: 8210 - 154TH AVE. NE CITY: REDMOND STATE: WA ZIP: 98052 BUSINESS PHONE: 425-881-9400 MAIL ADDRESS: STREET 1: 8210 - 154TH AVE. NE CITY: REDMOND STATE: WA ZIP: 98052 D 1 primary_doc.xml X0707 D LIVE 0001356688 ENDOGASTRIC SOLUTIONS INC 1900 O'Farrell Street, Suite 325 San Mateo CA CALIFORNIA 94403 650-578-5100 DELAWARE EsophyX, Inc. None Corporation true Robert Michael Kleine c/o EndoGastric Solutions, Inc. 1900 O'Farrell Street, Suite 325 San Mateo CA CALIFORNIA 94403 Director Guy Jordan 9940 East Powder Ridge Rd PO Box 8091 Alta UT UTAH 84092 Director Arda Minocherhomjee c/o Chicago Growth Partners, LP 303 West Madison Street, Suite 2500 Chicago IL ILLINOIS 60606 Director Michael Carusi c/o Advanced Technology Ventures 1000 Winter Street, Suite 3700 Waltham MA MASSACHUSETTS 02451 Director Lee Wrubel, M.D. c/o Foundation Medical Partners 105 Rowayton Avenue Rowayton CT CONNECTICUT 06853 Director Floyd Loop, M.D. c/o Cleveland Clinic 25875 Science Park Drive Beachwood OH OHIO 44122 Director Lilip Lau c/o EndoGastric Solutions, Inc. 1900 O'Farrell Street, Suite 325 San Mateo CA CALIFORNIA 94403 Executive Officer Scott Ward c/o SightLine Partners, LLC 50 South Sixth Street, Suite 1490 Minneapolis MN MINNESOTA 55402 Director Brent Ahrens c/o Canaan Partners 2765 Sand Hill Rd. Menlo Park CA CALIFORNIA 94025 Director Jordan Davis c/o Radius Venture Partners 400 Madison Avenue, 8th Floor New York NY NEW YORK 10017 Director Josh DeFonzo c/o EndoGastric Solutions, Inc. 1900 O'Farrell Street, Suite 325 San Mateo CA CALIFORNIA 94403 Executive Officer Skip Baldino c/o EndoGastric Solutions, Inc. 1900 O'Farrell Street, Suite 325 San Mateo CA CALIFORNIA 94403 Executive Officer Biotechnology Decline to Disclose 06b false 2014-04-22 false true false 33908 30650388 30637701 12687 The total amount sold consisted of $10,000,007.70 in cash (including an advance of $1,002,843.45 on April 1, 2014) as well as the conversion of $20,637,693.99 in convertible debt. false 16 0 0 0 false ENDOGASTRIC SOLUTIONS INC /s/ Skip Baldino Skip Baldino CEO 2014-05-06