Form D Raw Data - Electronic Filing Depository

EFDID: 99849EFD: Raw Data

Issuer: FLUOROPHARMA MEDICAL, INC. (0001402785) - D

Accession: 0001415889-14-002249 () (EDGAR Files) (Form D)

Edgar Posted: Jul. 28, 2014
EFD Posted: Aug. 8, 2014

- < edgarSubmission >

< schemaVersion > X0707 </ schemaVersion >

< submissionType > D </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001402785 </ cik >

< entityName > FLUOROPHARMA MEDICAL, INC. </ entityName >

- < issuerAddress >

< street1 > 8 Hillside Avenue </ street1 >

< street2 > Suite 207 </ street2 >

< city > Montclair </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07042 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 973-744-1565 </ issuerPhoneNumber >

< jurisdictionOfInc > NEVADA </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< previousName > Commercial E-Waste Management Inc </ previousName >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

- < yearOfInc >

< overFiveYears > true </ overFiveYears >

</ yearOfInc >

</ primaryIssuer >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Johan (Thijs) M. </ firstName >

< lastName > Spoor </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o FluoroPharma Medical, Inc. </ street1 >

< street2 > 8 Hillside Avenue, Suite 207 </ street2 >

< city > Montclair </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07042 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Tamara </ firstName >

< lastName > Rhein </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o FluoroPharma Medical, Inc. </ street1 >

< street2 > 8 Hillside Avenue, Suite 207 </ street2 >

< city > Montclair </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07042 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Walter </ firstName >

< lastName > Witoshkin </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o FluoroPharma Medical, Inc. </ street1 >

< street2 > 8 Hillside Avenue, Suite 207 </ street2 >

< city > Montclair </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07042 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Peter </ firstName >

< middleName > S. </ middleName >

< lastName > Conti </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o FluoroPharma Medical, Inc. </ street1 >

< street2 > 8 Hillside Avenue, Suite 207 </ street2 >

< city > Montclair </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07042 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Lawrence </ firstName >

< lastName > Atinsky </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o FluoroPharma Medical, Inc. </ street1 >

< street2 > 8 Hillside Avenue, Suite 207 </ street2 >

< city > Montclair </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07042 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Joseph </ firstName >

< middleName > A. </ middleName >

< lastName > Pierro </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o FluoroPharma Medical, Inc. </ street1 >

< street2 > 8 Hillside Avenue, Suite 207 </ street2 >

< city > Montclair </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07042 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Andrew </ firstName >

< middleName > H. </ middleName >

< lastName > Sassine </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o FluoroPharma Medical, Inc. </ street1 >

< street2 > 8 Hillside Avenue, Suite 207 </ street2 >

< city > Montclair </ city >

< stateOrCountry > NJ </ stateOrCountry >

< stateOrCountryDescription > NEW JERSEY </ stateOrCountryDescription >

< zipCode > 07042 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Pharmaceuticals </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06b </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > false </ isAmendment >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2014-07-22 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isDebtType > true </ isDebtType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 0 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > Monarch Capital Group LLC </ recipientName >

< recipientCRDNumber > 47815 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 500 Fifth Avenue, Suite 2240 </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10110 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > IL </ state >

< description > ILLINOIS </ description >

< state > KS </ state >

< description > KANSAS </ description >

< state > ME </ state >

< description > MAINE </ description >

< state > MN </ state >

< description > MINNESOTA </ description >

< state > MO </ state >

< description > MISSOURI </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > NY </ state >

< description > NEW YORK </ description >

< state > TN </ state >

< description > TENNESSEE </ description >

< state > TX </ state >

< description > TEXAS </ description >

</ statesOfSolicitationList >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > 2000000 </ totalOfferingAmount >

< totalAmountSold > 1222500 </ totalAmountSold >

< totalRemaining > 777500 </ totalRemaining >

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< numberNonAccreditedInvestors > 0 </ numberNonAccreditedInvestors >

< totalNumberAlreadyInvested > 23 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 81600 </ dollarAmount >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

</ useOfProceeds >

- < signatureBlock >

- < signature >

< issuerName > FluoroPharma Medical, Inc. </ issuerName >

< signatureName > /s/ Tamara Rhein </ signatureName >

< nameOfSigner > Tamara Rhein </ nameOfSigner >

< signatureTitle > CFO </ signatureTitle >

< signatureDate > 2014-07-28 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >