0001414353-17-000002.txt : 20171220 0001414353-17-000002.hdr.sgml : 20171220 20171220142539 ACCESSION NUMBER: 0001414353-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171220 DATE AS OF CHANGE: 20171220 EFFECTIVENESS DATE: 20171220 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sonivate Medical Inc CENTRAL INDEX KEY: 0001414353 IRS NUMBER: 912151556 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-301276 FILM NUMBER: 171266488 BUSINESS ADDRESS: STREET 1: 4640 SW MACADAM AVENUE STREET 2: SUITE 200 CITY: PORTLAND STATE: OR ZIP: 97239 BUSINESS PHONE: 971 238-3767 MAIL ADDRESS: STREET 1: 4640 SW MACADAM AVENUE STREET 2: SUITE 200 CITY: PORTLAND STATE: OR ZIP: 97239 FORMER COMPANY: FORMER CONFORMED NAME: Blacktoe Medical III Inc DATE OF NAME CHANGE: 20071005 D 1 primary_doc.xml X0708 D LIVE 0001414353 Sonivate Medical Inc 4640 SW MACADAM AVENUE SUITE 200 PORTLAND OR OREGON 97239 971 238-3767 OREGON Blacktoe Medical III Inc Corporation true James Hatlan 4640 SW Macadam Avenue Suite 200 Portland OR OREGON 97239 Executive Officer Director Carl Anderson, Jr. 4640 SW Macadam Avenue Suite 200 Portland OR OREGON 97239 Director Ronald Schutz, MD 4640 SW Macadam Avenue Suite 200 Portland OR OREGON 97239 Director Robert Dufresne, Jr. 4640 SW Macadam Avenue Suite 200 Portland OR OREGON 97239 Director Jason Wandersee 4640 SW Macadam Avenue Suite 200 Portland OR OREGON 97239 Director Other Health Care Decline to Disclose 06b false 2017-11-29 false true true false 0 1250000 875000 375000 false 10 0 0 0 false Sonivate Medical Inc /s/ James T. Hatlan James T. Hatlan CEO 2017-12-20