0001536647-15-000001.txt : 20150804 0001536647-15-000001.hdr.sgml : 20150804 20150804130727 ACCESSION NUMBER: 0001536647-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150804 DATE AS OF CHANGE: 20150804 EFFECTIVENESS DATE: 20150804 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: 021-245049 FILM NUMBER: 151024783 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. 690 FREMONT AVENUE Unit 3 Sunnyvale CA CALIFORNIA 94087 210-316-7739 DELAWARE None None Corporation true 2011 Fred Dinger c/o 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Executive Officer Director Scott Wolf c/o 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Executive Officer Director Kern Bhugra c/o 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Gregory Garfield c/o 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Greg Young c/o 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Peter Savas c/o 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Other Health Care Decline to Disclose 06b false 2015-07-23 false true true false 1 14355003 2327326 12027677 false 8 0 0 0 false Aerin Medical, Inc. /s/Fred Dinger Fred Dinger Chief Executive Officer 2015-08-04