0001536647-15-000002.txt : 20150902 0001536647-15-000002.hdr.sgml : 20150902 20150902172556 ACCESSION NUMBER: 0001536647-15-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150902 DATE AS OF CHANGE: 20150902 EFFECTIVENESS DATE: 20150902 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-245049 FILM NUMBER: 151090312 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/A 1 primary_doc.xml X0707 D/A 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 true 0001536647-15-000001 2015-07-23 false true true false 1 Harry Meade Flavin Jr. 4557548 Braymen, Lambert and Noel Securities, LTD. 124902 115 W. El Prado c/o Pasadera Capital, LLC San Antonio TX TEXAS 78212 AL ALABAMA AZ ARIZONA AR ARKANSAS CA CALIFORNIA CO COLORADO IL ILLINOIS IN INDIANA LA LOUISIANA MA MASSACHUSETTS MN MINNESOTA MS MISSISSIPPI NM NEW MEXICO NY NEW YORK NC NORTH CAROLINA OH OHIO OK OKLAHOMA TX TEXAS VA VIRGINIA WA WASHINGTON false 14355003 6698125 7656878 false 11 7875 true 0 0 false Aerin Medical, Inc. /s/Fred Dinger Fred Dinger Chief Executive Officer 2015-09-02