0001140361-17-027879.txt : 20170714 0001140361-17-027879.hdr.sgml : 20170714 20170714162612 ACCESSION NUMBER: 0001140361-17-027879 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170714 DATE AS OF CHANGE: 20170714 EFFECTIVENESS DATE: 20170714 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CLARET MEDICAL, INC. CENTRAL INDEX KEY: 0001468274 IRS NUMBER: 264287649 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-290809 FILM NUMBER: 17965778 BUSINESS ADDRESS: STREET 1: 1745 COPPERHILL PARKWAY CITY: SANTA ROSA STATE: CA ZIP: 95403 BUSINESS PHONE: (707) 528-9300 MAIL ADDRESS: STREET 1: 1745 COPPERHILL PARKWAY CITY: SANTA ROSA STATE: CA ZIP: 95403 D 1 primary_doc.xml X0707 D LIVE 0001468274 CLARET MEDICAL, INC. 1745 COPPERHILL PARKWAY SANTA ROSA CA CALIFORNIA 95403 (707) 528-9300 DELAWARE None None Corporation true Azin Parhizgar c/o Claret Medical, Inc. 1745 Copperhill Parkway, Suite 1 Santa Rosa CA CALIFORNIA 95403 Executive Officer Director Tony Fields c/o Claret Medical, Inc. 1745 Copperhill Parkway, Suite 1 Santa Rosa CA CALIFORNIA 95403 Executive Officer Jon Bohane c/o Claret Medical, Inc. 1745 Copperhill Parkway, Suite 1 Santa Rosa CA CALIFORNIA 95403 Executive Officer James Hallums c/o Claret Medical, Inc. 1745 Copperhill Parkway, Suite 1 Santa Rosa CA CALIFORNIA 95403 Executive Officer Fred Khosravi c/o Claret Medical, Inc. 1745 Copperhill Parkway, Suite 1 Santa Rosa CA CALIFORNIA 95403 Director James Eadie c/o Claret Medical, Inc. 1745 Copperhill Parkway, Suite 1 Santa Rosa CA CALIFORNIA 95403 Director Leo Nelson Hopkins c/o Claret Medical, Inc. 1745 Copperhill Parkway, Suite 1 Santa Rosa CA CALIFORNIA 95403 Director Henry Plain c/o Claret Medical, Inc. 1745 Copperhill Parkway, Suite 1 Santa Rosa CA CALIFORNIA 95403 Director Other Health Care Decline to Disclose 06b false 2017-06-22 false true false 0 17656279 11150134 6506145 false 34 0 0 0 false CLARET MEDICAL, INC. /s/ Azin Parhizgar Azin Parhizgar President and CEO 2017-07-14