0001536647-20-000005.txt : 20200817 0001536647-20-000005.hdr.sgml : 20200817 20200817104406 ACCESSION NUMBER: 0001536647-20-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200817 DATE AS OF CHANGE: 20200817 EFFECTIVENESS DATE: 20200817 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: 021-373348 FILM NUMBER: 201108320 BUSINESS ADDRESS: STREET 1: 232 E CARIBBEAN DR CITY: SUNNYVALE STATE: CA ZIP: 94089 BUSINESS PHONE: (650) 605-3579 MAIL ADDRESS: STREET 1: 232 E CARIBBEAN DR CITY: SUNNYVALE STATE: CA ZIP: 94089 FORMER COMPANY: FORMER CONFORMED NAME: Aerin Medical, Inc. DATE OF NAME CHANGE: 20111207 D 1 primary_doc.xml X0708 D LIVE 0001536647 Aerin Medical Inc. 232 E Caribbean Dr Sunnyvale CA CALIFORNIA 94089 833-484-8237 DELAWARE Aerin Medical, Inc. Corporation true Fred Dinger 232 E Carribean Dr Sunnyvale CA CALIFORNIA 94089 Executive Officer Scott Wolf 232 E Caribbean Dr Sunnyvale CA CALIFORNIA 94089 Executive Officer Director Valeska Schroeder 232 E Caribbean Dr Sunnyvale CA CALIFORNIA 94089 Director Matthew Brokaw 232 E Carribean Dr Sunnyvale CA CALIFORNIA 94089 Executive Officer Director Bill McClellan 232 E Carribean Dr Sunnyvale CA CALIFORNIA 94089 Executive Officer Karen Long 232 E Caribbean Dr Sunnyvale CA CALIFORNIA 94089 Director William Facteau 232 E Carribean Dr Sunnyvale CA CALIFORNIA 94089 Director David Thrower 232 E Carribean Dr Sunnyvale CA CALIFORNIA 94089 Director Other Health Care Decline to Disclose 06b false 2020-08-04 false true false 0 49749882 49749882 0 false 15 0 0 0 false Aerin Medical Inc. /s/ MATTHEW BROKAW Matthew Brokaw President & CEO 2020-08-11