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