0001600446-17-000001.txt : 20170515 0001600446-17-000001.hdr.sgml : 20170515 20170515142123 ACCESSION NUMBER: 0001600446-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170515 DATE AS OF CHANGE: 20170515 EFFECTIVENESS DATE: 20170515 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BioTrace Medical, Inc. CENTRAL INDEX KEY: 0001600446 IRS NUMBER: 463689751 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-286741 FILM NUMBER: 17843272 BUSINESS ADDRESS: STREET 1: 831 BRANSTEN ROAD STREET 2: SUITE L CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: 650-779-4999 MAIL ADDRESS: STREET 1: 831 BRANSTEN ROAD STREET 2: SUITE L CITY: SAN CARLOS STATE: CA ZIP: 94070 D 1 primary_doc.xml X0707 D LIVE 0001600446 BioTrace Medical, Inc. 831 BRANSTEN ROAD SUITE L SAN CARLOS CA CALIFORNIA 94070 650-779-4999 DELAWARE None None Corporation true 2013 Laura N. Dietch c/o BioTrace Medical, Inc. 831 Bransten Road, Suite L San Carlos CA CALIFORNIA 94070 Executive Officer Director Drew Hoffmann c/o BioTrace Medical, Inc. 831 Bransten Road, Suite L San Carlos CA CALIFORNIA 94070 Director Aravind Swaminathan, MD c/o BioTrace Medical, Inc. 831 Bransten Road, Suite L San Carlos CA CALIFORNIA 94070 Executive Officer Director Robert Brownell c/o BioTrace Medical, Inc. 831 Bransten Road, Suite L San Carlos CA CALIFORNIA 94070 Director Sharon Stevenson, DVM, PhD c/o BioTrace Medical, Inc. 831 Bransten Road, Suite L San Carlos CA CALIFORNIA 94070 Director Adam Henick c/o BioTrace Medical, Inc. 831 Bransten Road, Suite L San Carlos CA CALIFORNIA 94070 Director Other Health Care Decline to Disclose 06b false 2017-05-09 false true false 1 8343496 5681262 2662234 false 9 0 0 0 false BioTrace Medical, Inc. /s/ Laura N. Dietch Laura N. Dietch President and Chief Executive Officer 2017-05-15