0001600001-21-000006.txt : 20210811 0001600001-21-000006.hdr.sgml : 20210811 20210810180143 ACCESSION NUMBER: 0001600001-21-000006 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20210811 DATE AS OF CHANGE: 20210810 EFFECTIVENESS DATE: 20210811 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROM Technologies, Inc. CENTRAL INDEX KEY: 0001600001 IRS NUMBER: 844142031 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-409504 FILM NUMBER: 211161322 BUSINESS ADDRESS: STREET 1: 101 SILVERMINE RD. CITY: BROOKFIELD STATE: CT ZIP: 06804 BUSINESS PHONE: 888.374.0855 MAIL ADDRESS: STREET 1: 101 SILVERMINE RD. CITY: BROOKFIELD STATE: CT ZIP: 06804 FORMER COMPANY: FORMER CONFORMED NAME: ROM3 Rehab LLC DATE OF NAME CHANGE: 20160725 FORMER COMPANY: FORMER CONFORMED NAME: ROM3 California LLC DATE OF NAME CHANGE: 20140212 D 1 primary_doc.xml X0708 D LIVE 0001600001 ROM Technologies, Inc. 101 SILVERMINE RD. BROOKFIELD CT CONNECTICUT 06804 888.374.0855 DELAWARE ROM3 Rehab LLC ROM3 California LLC Corporation true 2020 Peter Arn 108 Davenport Rd Roxbury CT CONNECTICUT 06783 Executive Officer Sanford Gomberg 101 Breezy Tree Ct. 202 Las Vegas NV NEVADA 89145 Director Michael Bissonnette 3989 Pebble Beach Dr. Longmont CO COLORADO 80503 Director Edwin Dearborn 9788 Gilespie St 406 Las Vegas NV NEVADA 89183 Director Alan Tucker 5 Osprey Drive Seymore CT CONNECTICUT 06483 Executive Officer Chief Financial Officer Steve Siegel 7224 Rambling Water Way Windermere FL FLORIDA 34786 Executive Officer Chief Operating Officer Gordon Hull 24 Dodgingtown Road Newtown CT CONNECTICUT 06470 Executive Officer Vice President Engineering & Manufacturing Other Health Care $1,000,001 - $5,000,000 06c false 2021-07-21 false true true true false 25000 3000000 2090000 910000 false 42 0 0 96000 true false ROM Technologies, Inc. sanford gomberg Sanford Gomberg V.P. Corporate Affairs 2021-08-10