0001209191-16-102199.txt : 20160225 0001209191-16-102199.hdr.sgml : 20160225 20160225125928 ACCESSION NUMBER: 0001209191-16-102199 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160225 DATE AS OF CHANGE: 20160225 EFFECTIVENESS DATE: 20160225 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ambient Clinical Analytics, Inc. CENTRAL INDEX KEY: 0001597172 IRS NUMBER: 800928405 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-258120 FILM NUMBER: 161454807 BUSINESS ADDRESS: STREET 1: 221 FIRST AVENUE SW STREET 2: SUITE 202 CITY: ROCHESTER STATE: MN ZIP: 55902 BUSINESS PHONE: 507-261-0513 MAIL ADDRESS: STREET 1: 221 FIRST AVENUE SW STREET 2: SUITE 202 CITY: ROCHESTER STATE: MN ZIP: 55902 D 1 primary_doc.xml X0707 D LIVE 0001597172 Ambient Clinical Analytics, Inc. 221 FIRST AVENUE SW SUITE 202 ROCHESTER MN MINNESOTA 55902 507-261-0513 DELAWARE None None Corporation true 2013 Allen J. Berning 221 First Avenue SW Suite 202 Rochester MN MINNESOTA 55902 Executive Officer Director Promoter Greg Lea 221 First Avenue SW Suite 202 Rochester MN MINNESOTA 55902 Director Brian W. Pickering 221 First Avenue SW Suite 202 Rochester MN MINNESOTA 55902 Director Other Health Care Decline to Disclose 06b false 2016-02-16 false true true true Convertible promissory notes false 0 Liccar Securities and Custodial Services, LLC 151034 None None 231 South LaSalle Street, Suite 650 Chicago IL ILLINOIS 60604 All States 1500000 100000 1400000 false 2 50000 true 0 0 false Ambient Clinical Analytics, Inc. /s/ Allen J. Berning Allen J. Berning President and Chief Executive Officer 2016-02-25