0001537512-22-000001.txt : 20220125 0001537512-22-000001.hdr.sgml : 20220125 20220125125818 ACCESSION NUMBER: 0001537512-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220125 DATE AS OF CHANGE: 20220125 EFFECTIVENESS DATE: 20220125 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: 021-430698 FILM NUMBER: 22552310 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, Suite 500 Seattle WA WASHINGTON 98119 Executive Officer Director Randy Scott c/o 200 West Mercer Street, Suite 500 Seattle WA WASHINGTON 98119 Executive Officer Director Ovid Amadi c/o 200 West Mercer Street, Suite 500 Seattle WA WASHINGTON 98119 Director Kathryn Beal c/o 200 West Mercer Street, Suite 500 Seattle WA WASHINGTON 98119 Director Paul Enever c/o 200 West Mercer Street, Suite 500 Seattle WA WASHINGTON 98119 Director Ronald Lowy c/o 200 West Mercer Street, Suite 500 Seattle WA WASHINGTON 98119 Director Marc-Andre Marcotte c/o 200 West Mercer Street, Suite 500 Seattle WA WASHINGTON 98119 Director Paul Meister c/o 200 West Mercer Street, Suite 500 Seattle WA WASHINGTON 98119 Director Other Health Care Decline to Disclose 06b false 2022-01-10 false true true false 0 46380143 43380144 2999999 TOTAL OFFERING AMOUNT AND TOTAL AMOUNT SOLD INCLUDES THE CONVERSION OF PREVIOUSLY ISSUED CONVERTIBLE NOTES. false 18 0 0 0 false Magnolia Medical Technologies, Inc. /s/ Gregory J. Bullington Gregory J. Bullington President and CEO 2022-01-24