-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, LFniT4nyrinvp17TU76XT48XlMwVbZOFlqB2p0X/b8EkGd1SFKE8Elt6ixTJvUzs MY/XcOXLFS4hQbO6VqCzbg== 0001477700-09-000001.txt : 20091202 0001477700-09-000001.hdr.sgml : 20091202 20091202121120 ACCESSION NUMBER: 0001477700-09-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091019 FILED AS OF DATE: 20091202 DATE AS OF CHANGE: 20091202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davidson Kevin R. CENTRAL INDEX KEY: 0001477700 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 333-155299 FILM NUMBER: 091216711 MAIL ADDRESS: STREET 1: 2060 CENTRE POINTE BLVD., SUITE 7 CITY: MENDOTA HEIGHTS STATE: MN ZIP: 55120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BioDrain Medical, Inc. CENTRAL INDEX KEY: 0001446159 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 331007393 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2060 CENTRE POINTE BOULEVARD STREET 2: SUITE 7 CITY: MENDOTA HEIGHTS STATE: MN ZIP: 55120 BUSINESS PHONE: (612) 850-9460 MAIL ADDRESS: STREET 1: 2060 CENTRE POINTE BOULEVARD STREET 2: SUITE 7 CITY: MENDOTA HEIGHTS STATE: MN ZIP: 55120 3 1 primary_doc.xml PRIMARY DOCUMENT X0203 3 2009-10-19 0 0001446159 BioDrain Medical, Inc. BIOR 0001477700 Davidson Kevin R. 2060 CENTRE POINTE BLVD., SUITE 7 MENDOTA HEIGHTS MN 55120 1 1 0 0 President, CEO and CFO Common Stock 329927 D Option to purchase common stock 0.01 2008-06-05 2018-06-05 Common Stock 543292 D Option to purchase common stock 0.35 2013-06-11 Common Stock 80000 D Convertible Note 0.35 2009-10-31 2009-10-31 Common Stock 3506 D Exercisable upon the Company raising an additional $3,000,000 in equity. /s/ Kevin R. Davidson 2009-12-01 -----END PRIVACY-ENHANCED MESSAGE-----