0001347123-21-000002.txt : 20210712 0001347123-21-000002.hdr.sgml : 20210712 20210712150902 ACCESSION NUMBER: 0001347123-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20210712 DATE AS OF CHANGE: 20210712 EFFECTIVENESS DATE: 20210712 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EBR Systems, Inc. CENTRAL INDEX KEY: 0001347123 IRS NUMBER: 571164669 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-405897 FILM NUMBER: 211085407 BUSINESS ADDRESS: STREET 1: 480 OAKMEAD PARKWAY CITY: SUNNYVALE STATE: CA ZIP: 94085 BUSINESS PHONE: 408 720-1906 MAIL ADDRESS: STREET 1: 480 OAKMEAD PARKWAY CITY: SUNNYVALE STATE: CA ZIP: 94085 FORMER COMPANY: FORMER CONFORMED NAME: EBR Systems Inc DATE OF NAME CHANGE: 20051216 D 1 primary_doc.xml X0708 D LIVE 0001347123 EBR Systems, Inc. 480 OAKMEAD PARKWAY SUNNYVALE CA CALIFORNIA 94085 408 720-1906 DELAWARE EBR Systems Inc Corporation true ALLAN WILL 480 OAKMEAD PARKWAY SUNNYVALE CA CALIFORNIA 94085 Executive Officer Director JOHN MCCUTCHEON 480 OAKMEAD PARKWAY SUNNYVALE CA CALIFORNIA 94085 Executive Officer Director LEIGHTON READ 480 OAKMEAD PARKWAY SUNNYVALE CA CALIFORNIA 94085 Director DAVID STASSEN 480 OAKMEAD PARKWAY SUNNYVALE CA CALIFORNIA 94085 Director TREVOR MOODY 480 OAKMEAD PARKWAY SUNNYVALE CA CALIFORNIA 94085 Director CHRIS NAVE 480 OAKMEAD PARKWAY SUNNYVALE CA CALIFORNIA 94085 Director Other Health Care Decline to Disclose 06c false 2021-06-25 false true true true false 0 25000000 8712277 16287723 false 36 0 0 0 false EBR Systems, Inc. /s/ John McCutcheon John McCutcheon CEO 2021-07-07