0001504703-16-000001.txt : 20160928 0001504703-16-000001.hdr.sgml : 20160928 20160928102035 ACCESSION NUMBER: 0001504703-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160928 DATE AS OF CHANGE: 20160928 EFFECTIVENESS DATE: 20160928 FILER: COMPANY DATA: COMPANY CONFORMED NAME: InterRad Medical, Inc. CENTRAL INDEX KEY: 0001504703 IRS NUMBER: 320021678 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-271426 FILM NUMBER: 161905915 BUSINESS ADDRESS: STREET 1: 181 CHESHIRE LANE STREET 2: SUITE 100 CITY: PLYMOUTH STATE: MN ZIP: 55441 BUSINESS PHONE: 763-225-6699 MAIL ADDRESS: STREET 1: 181 CHESHIRE LANE STREET 2: SUITE 100 CITY: PLYMOUTH STATE: MN ZIP: 55441 D 1 primary_doc.xml X0707 D LIVE 0001504703 InterRad Medical, Inc. 181 CHESHIRE LANE SUITE 100 PLYMOUTH MN MINNESOTA 55441 763-225-6699 DELAWARE None None Corporation true JOSEPH M. GOLDBERGER 181 CHESHIRE LANE SUITE 100 PLYMOUTH MN MINNESOTA 55441 Executive Officer Director MICHAEL S. ROSENBERG 181 CHESHIRE LANE SUITE 100 PLYMOUTH MN MINNESOTA 55441 Executive Officer Director STANLEY S. HUBBARD 181 CHESHIRE LANE SUITE 100 PLYMOUTH MN MINNESOTA 55441 Director JEFF KILLION 181 CHESHIRE LANE SUITE 100 PLYMOUTH MN MINNESOTA 55441 Executive Officer SEW-WAH TAY 181 CHESHIRE LANE SUITE 100 PLYMOUTH MN MINNESOTA 55441 Executive Officer NANCY NESS 181 CHESHIRE LANE SUITE 100 PLYMOUTH MN MINNESOTA 55441 Executive Officer PAT TOMPKINS 181 CHESHIRE LANE SUITE 100 PLYMOUTH MN MINNESOTA 55441 Executive Officer Other Health Care Decline to Disclose 06b false true false true false 50000 LESMOIR-GORDON, BOYLE & CO. None None None 31 DOVER STREET LONDON X0 UNITED KINGDOM W1S 4ND true 6000000 0 6000000 false 0 60000 true 0 Issuer to pay a monthly retainer fee of $10,000 with a required aggregate retainer requirement of $60,000. Issuer to pay a 5% commission on that portion of the placement sold by Broker. 0 false InterRad Medical, Inc. /s/ Joseph M. Goldberger Joseph M. Goldberger President and CEO 2016-09-27