0001209191-17-057933.txt : 20171025 0001209191-17-057933.hdr.sgml : 20171025 20171025153018 ACCESSION NUMBER: 0001209191-17-057933 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171025 DATE AS OF CHANGE: 20171025 EFFECTIVENESS DATE: 20171025 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EmboMedics, Inc. CENTRAL INDEX KEY: 0001592901 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-297421 FILM NUMBER: 171153022 BUSINESS ADDRESS: STREET 1: 17127 80TH PLACE NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55311 BUSINESS PHONE: 612-817-2349 MAIL ADDRESS: STREET 1: 17127 80TH PLACE NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55311 D 1 primary_doc.xml X0708 D LIVE 0001592901 EmboMedics, Inc. 678 Mendelssohn Ave. N. Minneapolis MN MINNESOTA 55427 763-398-5120 DELAWARE None None Corporation true 2012 Robert Cohen 678 Mendelssohn Ave. N. Minneapolis MN MINNESOTA 55427 Executive Officer Director Jafar Golzarian 678 Mendelssohn Ave. N. Minneapolis MN MINNESOTA 55427 Director Promoter Reza Malek 678 Mendelssohn Ave. N. Minneapolis MN MINNESOTA 55427 Director Robert Halverson 678 Mendelssohn Ave. N. Minneapolis MN MINNESOTA 55427 Director Gerald D. Van Eeckhout 678 Mendelssohn Ave. N. Minneapolis MN MINNESOTA 55427 Director Biotechnology Decline to Disclose 06b false 2016-09-20 false true true Convertible promissory notes and equity securities issuable upon conversion of such Notes. false 0 1300000 740775 559225 true 1 12 0 0 30000 true Repayment of promissory note held by a director. false EmboMedics, Inc. /s/ Robert Cohen Robert Cohen Chief Executive Officer 2017-10-25