0001479362-15-000002.txt : 20150702 0001479362-15-000002.hdr.sgml : 20150702 20150701201230 ACCESSION NUMBER: 0001479362-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150701 EFFECTIVENESS DATE: 20150702 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PROFUSA, Inc. CENTRAL INDEX KEY: 0001479362 IRS NUMBER: 264589529 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-242965 FILM NUMBER: 15966936 BUSINESS ADDRESS: STREET 1: 345 ALLERTON AVE. CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: (925) 997-6925 MAIL ADDRESS: STREET 1: 345 ALLERTON AVE. CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 FORMER COMPANY: FORMER CONFORMED NAME: Profusa, Inc. DATE OF NAME CHANGE: 20091223 D 1 primary_doc.xml X0707 D LIVE 0001479362 PROFUSA, Inc. 345 ALLERTON AVE. SOUTH SAN FRANCISCO CA CALIFORNIA 94080 (925) 997-6925 CALIFORNIA Profusa, Inc. Corporation true Ben Hwang PROFUSA, Inc. 345 Allerton Ave. South San Francisco CA CALIFORNIA 94080 Executive Officer Director Natalie Wisniewski PROFUSA, Inc. 345 Allerton Ave. South San Francisco CA CALIFORNIA 94080 Executive Officer Director Thomas Gutshall PROFUSA, Inc. 345 Allerton Ave. South San Francisco CA CALIFORNIA 94080 Director Qianye Karen Liu PROFUSA, Inc. 345 Allerton Ave. South San Francisco CA CALIFORNIA 94080 Director Other Health Care Decline to Disclose 06b false 2015-06-18 true true false 0 17000000 11259301 5740699 Includes the dollar amount for the conversion of the principal and interest of convertible promissory notes. false 32 0 0 0 The proceeds will be used for working capital and general corporate purposes. false PROFUSA, Inc. /s/Ben Hwang Ben Hwang Chief Executive Officer 2015-06-30