0001339005-17-000001.txt : 20170113 0001339005-17-000001.hdr.sgml : 20170113 20170113171311 ACCESSION NUMBER: 0001339005-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170113 DATE AS OF CHANGE: 20170113 EFFECTIVENESS DATE: 20170113 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FEMASYS INC CENTRAL INDEX KEY: 0001339005 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-278470 FILM NUMBER: 17528588 BUSINESS ADDRESS: STREET 1: 3950 JOHNS CREEK COURT STREET 2: SUITE 100 CITY: SUWANEE STATE: GA ZIP: 30024 BUSINESS PHONE: 770-500-3910 MAIL ADDRESS: STREET 1: 3950 JOHNS CREEK COURT STREET 2: SUITE 100 CITY: SUWANEE STATE: GA ZIP: 30024 D 1 primary_doc.xml X0707 D LIVE 0001339005 FEMASYS INC 3950 JOHNS CREEK COURT SUITE 100 SUWANEE GA GEORGIA 30024 770-500-3910 DELAWARE None None Corporation true Kathy Lee-Sepsick c/o Femasys Inc. 3950 Johns Creek Court, Suite 100 Suwanee GA GEORGIA 30024 Executive Officer Director Edward Uzialko c/o Femasys Inc. 3950 Johns Creek Court, Suite 100 Suwanee GA GEORGIA 30024 Director John Adams c/o Femasys Inc. 3950 Johns Creek Court, Suite 100 Suwanee GA GEORGIA 30024 Director Fred Aslan c/o Femasys Inc. 3950 Johns Creek Court, Suite 100 Suwanee GA GEORGIA 30024 Director Charles Larsen c/o Femasys Inc. 3950 Johns Creek Court, Suite 100 Suwanee GA GEORGIA 30024 Director John Dyett c/o Femasys Inc. 3950 Johns Creek Court, Suite 100 Suwanee GA GEORGIA 30024 Director William Witte c/o Femasys Inc. 3950 Johns Creek Court, Suite 100 Suwanee GA GEORGIA 30024 Director Biotechnology Decline to Disclose 06b false 2017-01-06 false true false 0 Salem Partners LLC None None None 11111 Santa Monica Boulevard, Suite 2250 Los Angeles CA CALIFORNIA 90025 All States false 4000000 4000000 0 false 8 200000 true 0 In addition, Recipient received warrants to purchase equity in the Issuer with an initial value equal to 3.0% of the aggregate number of securities issued. 0 false FEMASYS INC /s/ Kathy Lee-Sepsick Kathy Lee-Sepsick President and Chief Executive Officer 2017-01-13