0001468492-19-000002.txt : 20191211 0001468492-19-000002.hdr.sgml : 20191211 20191211171342 ACCESSION NUMBER: 0001468492-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191211 DATE AS OF CHANGE: 20191211 EFFECTIVENESS DATE: 20191211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Heart Test Laboratories, Inc. CENTRAL INDEX KEY: 0001468492 IRS NUMBER: 261344466 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-355332 FILM NUMBER: 191280379 BUSINESS ADDRESS: STREET 1: 5611 COLLEYVILLE BLVD., SUITE 260 CITY: COLLEYVILLE STATE: TX ZIP: 76034 BUSINESS PHONE: (817) 307-4848 MAIL ADDRESS: STREET 1: 5611 COLLEYVILLE BLVD., SUITE 260 CITY: COLLEYVILLE STATE: TX ZIP: 76034 D 1 primary_doc.xml X0708 D LIVE 0001468492 Heart Test Laboratories, Inc. 550 Reserve Street Suite 360 Southlake TX TEXAS 76092 (682) 237-7781 TEXAS None None Corporation true Mark Hilz 550 Reserve Street Suite 360 Southlake TX TEXAS 76092 Executive Officer Andrew Simpson 550 Reserve Street Suite 360 Southlake TX TEXAS 76092 Executive Officer John Adams 3409 Windsor Court Colleyville TX TEXAS 76034 Director Patrick Kanouff 262 E Mountain Ave Fort Collins CO COLORADO 80524 Director John Owen 214 Jonathan Road New Canaan CT CONNECTICUT 06840 Director Brian Szymczak 4125 Kachina Drive Austin TX TEXAS 78735 Director Biotechnology $1 - $1,000,000 06b false 2019-04-25 false true false 1000 6500000 6493155 6845 false 50 0 0 400000 true false Heart Test Laboratories, Inc. Mark Hilz Mark Hilz President/CEO 2019-12-11