0001536647-16-000004.txt : 20160322 0001536647-16-000004.hdr.sgml : 20160322 20160321200418 ACCESSION NUMBER: 0001536647-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160322 DATE AS OF CHANGE: 20160321 EFFECTIVENESS DATE: 20160322 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: 021-259719 FILM NUMBER: 161519753 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 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Executive Officer Director Scott Wolf 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Executive Officer Director Gregory S. Young 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Kern Bhugra 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Greg Garfield 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Peter Savas 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Nael Kassar 690 Fremont Avenue Unit 3 Sunnyvale CA CALIFORNIA 94087 Director Other Health Care Decline to Disclose 06b false 2016-03-08 false true false 1 10572276 10572276 0 false 3 0 0 0 false Aerin Medical, Inc. /s/Fred Dinger Fred Dinger President 2016-03-21