0001536647-14-000001.txt : 20140214 0001536647-14-000001.hdr.sgml : 20140214 20140213192257 ACCESSION NUMBER: 0001536647-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140214 DATE AS OF CHANGE: 20140213 EFFECTIVENESS DATE: 20140214 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aerin Medical, Inc. CENTRAL INDEX KEY: 0001536647 IRS NUMBER: 452572453 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-211934 FILM NUMBER: 14608788 BUSINESS ADDRESS: STREET 1: 2953 BUNKER HILL LANE STREET 2: SUITE 400 CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: (650) 605-3579 MAIL ADDRESS: STREET 1: 2953 BUNKER HILL LANE STREET 2: SUITE 400 CITY: SANTA CLARA STATE: CA ZIP: 95054 D 1 primary_doc.xml X0707 D LIVE 0001536647 Aerin Medical, Inc. 2953 BUNKER HILL LANE SUITE 400 SANTA CLARA CA CALIFORNIA 95054 (650) 605-3579 DELAWARE None None Corporation true 2011 Scott Wolf c/o 2953 Bunker Hill Lane Suite 400 Santa Clara CA CALIFORNIA 95054 Executive Officer Director Kern Bhugra c/o 2953 Bunker Hill Lane Suite 400 Santa Clara CA CALIFORNIA 95054 Director Greg Garfield c/o 2953 Bunker Hill Lane Suite 400 Santa Clara CA CALIFORNIA 95054 Director Other Health Care Decline to Disclose 06b false 2014-02-06 false true false 1 2500000 524998 1975002 false 4 0 0 0 false Aerin Medical, Inc. /s/ Scott Wolf Scott Wolf President & CEO 2014-02-13