0001537512-16-000005.txt : 20160714 0001537512-16-000005.hdr.sgml : 20160714 20160714152556 ACCESSION NUMBER: 0001537512-16-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160714 DATE AS OF CHANGE: 20160714 EFFECTIVENESS DATE: 20160714 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Magnolia Medical Technologies, Inc. CENTRAL INDEX KEY: 0001537512 IRS NUMBER: 453839245 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-267007 FILM NUMBER: 161767402 BUSINESS ADDRESS: STREET 1: 2001 - 6TH AVENUE SUITE 1630 CITY: SEATTLE STATE: WA ZIP: 98121 BUSINESS PHONE: (206) 673-2500 MAIL ADDRESS: STREET 1: 2001 - 6TH AVENUE SUITE 1630 CITY: SEATTLE STATE: WA ZIP: 98121 D 1 primary_doc.xml X0707 D LIVE 0001537512 Magnolia Medical Technologies, Inc. 2001 - 6TH AVENUE SUITE 1630 SEATTLE WA WASHINGTON 98121 (206) 673-2500 WASHINGTON None None Corporation true 2011 Gregory J Bullington c/o 2001 - 6th Avenue, Suite 1630 Seattle WA WASHINGTON 98121 Executive Officer Director Richard G Patton c/o 2001 - 6th Avenue, Suite 1630 Seattle WA WASHINGTON 98121 Executive Officer Director Garheng Kong c/o 2001 - 6th Avenue, Suite 1630 Seattle WA WASHINGTON 98121 Director Josh Baltzell c/o 2001 - 6th Avenue, Suite 1630 Seattle WA WASHINGTON 98121 Director Paul M Meister c/o 2001 - 6th Avenue, Suite 1630 Seattle WA WASHINGTON 98121 Director Other Health Care Decline to Disclose 06b false 2016-06-29 false true false 0 19757108 13757109 5999999 Includes the conversion of previously issued convertible notes. false 19 0 0 0 false Magnolia Medical Technologies, Inc. /s/ Gregory J. Bullington Gregory J. Bullington President and CEO 2016-07-13