0001536647-17-000001.txt : 20171219 0001536647-17-000001.hdr.sgml : 20171219 20171219150843 ACCESSION NUMBER: 0001536647-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171219 DATE AS OF CHANGE: 20171219 EFFECTIVENESS DATE: 20171219 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: 021-301153 FILM NUMBER: 171263815 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 X0708 D LIVE 0001536647 Aerin Medical, Inc. 232 E. Caribbean Drive Sunnyvale CA CALIFORNIA 94089 678-892-1194 DELAWARE None None Corporation true Fred Dinger 232 E. Caribbean Drive Sunnyvale CA CALIFORNIA 94089 Executive Officer Director Scott Wolf 232 E. Caribbean Drive Sunnyvale CA CALIFORNIA 94089 Executive Officer Director Gregory Garfield 232 E. Caribbean Drive Sunnyvale CA CALIFORNIA 94089 Director Kern Bhugra 232 E. Caribbean Drive Sunnyvale CA CALIFORNIA 94089 Director Valeska Schroeder 232 E. Caribbean Drive Sunnyvale CA CALIFORNIA 94089 Director Other Health Care Decline to Disclose 06b false 2017-12-13 false true false 1 15000000 10000000 5000000 false 16 0 0 0 false Aerin Medical, Inc. /s/Fred Dinger Fred Dinger President 2017-12-19