0001608939-18-000002.txt : 20180802 0001608939-18-000002.hdr.sgml : 20180802 20180802123415 ACCESSION NUMBER: 0001608939-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180802 DATE AS OF CHANGE: 20180802 EFFECTIVENESS DATE: 20180802 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Vicis, Inc. CENTRAL INDEX KEY: 0001608939 IRS NUMBER: 611737308 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-318363 FILM NUMBER: 18987371 BUSINESS ADDRESS: STREET 1: 570 MERCER STREET CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 206-456-6680 MAIL ADDRESS: STREET 1: 570 MERCER STREET CITY: SEATTLE STATE: WA ZIP: 98109 FORMER COMPANY: FORMER CONFORMED NAME: Spark Medical, Inc. DATE OF NAME CHANGE: 20140522 D 1 primary_doc.xml X0708 D LIVE 0001608939 Vicis, Inc. 570 MERCER STREET SEATTLE WA WASHINGTON 98109 206-456-6680 DELAWARE Spark Medical, Inc. Corporation true 2014 David Marver C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Executive Officer Director Samuel Browd C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Executive Officer Director Per Reinhall C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Executive Officer Director Alan Bruce Montgomery C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Director William Ayer C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Director Ralph Greene C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Director Frank Walters C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Director Lynnette Frank C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Director David Auckland C/O Vicis, Inc. 570 Mercer St. Seattle WA WASHINGTON 98109 Executive Officer Other Decline to Disclose 06b false 2018-07-24 false true false 0 73206540 53151365 20055175 The amounts above include principal and accrued interest under convertible notes that were converted to equity. false 187 0 0 0 false Vicis, Inc. /s/ DAVID L. MARVER David L. Marver President & CEO 2018-08-02