0001397702-12-000001.txt : 20120424 0001397702-12-000001.hdr.sgml : 20120424 20120424144951 ACCESSION NUMBER: 0001397702-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120424 DATE AS OF CHANGE: 20120424 EFFECTIVENESS DATE: 20120424 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Silk Road Medical Inc CENTRAL INDEX KEY: 0001397702 IRS NUMBER: 208777622 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-177158 FILM NUMBER: 12775796 BUSINESS ADDRESS: STREET 1: 735 PASTORIA AVE CITY: SUNNYVALE STATE: CA ZIP: 94085-2918 BUSINESS PHONE: 6505669060 MAIL ADDRESS: STREET 1: 735 PASTORIA AVE CITY: SUNNYVALE STATE: CA ZIP: 94085-2918 D 1 primary_doc.xml X0705 D LIVE 0001397702 Silk Road Medical Inc 735 PASTORIA AVE SUNNYVALE CA CALIFORNIA 94085-2918 6505669060 DELAWARE None None Corporation true 2007 William Worthen c/o Silk Road Medical, Inc. 735 Pastoria Ave Sunnyvale CA CALIFORNIA 94085-2918 Executive Officer Director Tony Chou c/o Silk Road Medical, Inc. 735 Pastoria Ave Sunnyvale CA CALIFORNIA 94085-2918 Executive Officer Director John Slattery c/o Silk Road Medical, Inc. 735 Pastoria Ave Sunnyvale CA CALIFORNIA 94085-2918 Executive Officer Noah Knauf c/o Silk Road Medical, Inc. 735 Pastoria Ave Sunnyvale CA CALIFORNIA 94085-2918 Director Jack Lasersohn c/o Silk Road Medical, Inc. 735 Pastoria Ave Sunnyvale CA CALIFORNIA 94085-2918 Director Philip H. Oettinger c/o Silk Road Medical, Inc. 735 Pastoria Ave Sunnyvale CA CALIFORNIA 94085-2918 Executive Officer Other Health Care Decline to Disclose 06 false 2012-04-10 false true false 2 41225794 21225796 19999998 Total Offering Amount: $41,225,794.52 First Closing Amount Sold: $8,225,794.32 Supplemental Closing Amount Sold: $12,999,999.12 Total Remaining to be Sold: $19,999,997.95 false 4 0 0 0 false Silk Road Medical Inc Philip H. Oettinger Philip H. Oettinger Secretary 2012-04-24