0001520325-20-000001.txt : 20200714 0001520325-20-000001.hdr.sgml : 20200714 20200714113647 ACCESSION NUMBER: 0001520325-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200714 DATE AS OF CHANGE: 20200714 EFFECTIVENESS DATE: 20200714 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cardiva Medical, Inc. CENTRAL INDEX KEY: 0001520325 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 300113686 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-370917 FILM NUMBER: 201026653 BUSINESS ADDRESS: STREET 1: 1615 WYATT DRIVE STREET 2: SUITE 160 CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: (408) 859-1877 MAIL ADDRESS: STREET 1: 1615 WYATT DRIVE STREET 2: SUITE 160 CITY: SANTA CLARA STATE: CA ZIP: 95054 FORMER COMPANY: FORMER CONFORMED NAME: Cardiva Medical Inc DATE OF NAME CHANGE: 20110510 D 1 primary_doc.xml X0708 D LIVE 0001520325 Cardiva Medical, Inc. 1615 WYATT DRIVE SANTA CLARA CA CALIFORNIA 95054 (408) 470-7170 DELAWARE Cardiva Medical Inc Corporation true John Russell 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Executive Officer Director Lisa Garrett 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Executive Officer Justin Ballotta 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Executive Officer Thomas Barfield 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Director Michael Bornitz 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Director Matthew Crawford 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Director Paul Enever 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Director George Lee 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Director Augustine Lien 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Director Jeryl Hilleman 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Director Robert White 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Director Roger Owens 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Executive Officer Zia Yassinzadeh 1615 Wyatt Drive Santa Clara CA CALIFORNIA 95054 Executive Officer Other Health Care Decline to Disclose 06b false 2020-06-29 false true false 0 44999983 44999983 0 Series 6 Preferred Stock; Common Stock issuable upon conversion. false 25 0 0 0 true Proceeds will be used for general corporate purposes. false Cardiva Medical, Inc. /s/Lisa Garrett Lisa Garrett CFO 2020-07-14