0001537512-19-000001.txt : 20190125 0001537512-19-000001.hdr.sgml : 20190125 20190125151127 ACCESSION NUMBER: 0001537512-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190125 DATE AS OF CHANGE: 20190125 EFFECTIVENESS DATE: 20190125 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: 021-331413 FILM NUMBER: 19542396 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 X0708 D LIVE 0001537512 Magnolia Medical Technologies, Inc. 200 WEST MERCER STREET SUITE 500 SEATTLE WA WASHINGTON 98119 (888) 617-3420 WASHINGTON None None Corporation true GREGORY J BULLINGTON C/O 200 WEST MERCER STREET STE 500 SEATTLE WA WASHINGTON 98119 Executive Officer Director RICHARD G PATTON C/O 200 WEST MERCER STREET STE 500 SEATTLE WA WASHINGTON 98119 Executive Officer Director RANDY SCOTT C/O 200 WEST MERCER STREET STE 500 SEATTLE WA WASHINGTON 98119 Executive Officer Director JOSH BALTZELL C/O 200 WEST MERCER STREET STE 500 SEATTLE WA WASHINGTON 98119 Director PAUL MEISTER C/O 200 WEST MERCER STREET STE 500 SEATTLE WA WASHINGTON 98119 Director PAUL ENEVER C/O 200 WEST MERCER STREET STE 500 SEATTLE WA WASHINGTON 98119 Director Other Health Care Decline to Disclose 06b false 2018-12-18 false true false 0 19999998 19552560 447438 false 31 0 0 0 false Magnolia Medical Technologies, Inc. /s/ Gregory J. Bullington GREGORY J. BULLINGTON PRESIDENT AND CEO 2019-01-25