0001600446-21-000002.txt : 20210316 0001600446-21-000002.hdr.sgml : 20210316 20210315203333 ACCESSION NUMBER: 0001600446-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210316 DATE AS OF CHANGE: 20210315 EFFECTIVENESS DATE: 20210316 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: 021-392374 FILM NUMBER: 21743238 BUSINESS ADDRESS: STREET 1: 3925 BOHANNON DRIVE STREET 2: SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-779-4999 MAIL ADDRESS: STREET 1: 3925 BOHANNON DRIVE STREET 2: SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0708 D LIVE 0001600446 BioTrace Medical, Inc. 3925 BOHANNON DRIVE SUITE 200 MENLO PARK CA CALIFORNIA 94025 650-779-4999 DELAWARE None None Corporation true Laura N, Dietch c/o BioTrace Medical, Inc. 3925 Bohannon Drive, Suite 200 Menlo Park CA CALIFORNIA 94025 Executive Officer Director Drew Hoffmann c/o BioTrace Medical, Inc. 3925 Bohannon Drive, Suite 200 Menlo Park CA CALIFORNIA 94025 Director Aravind Swaminathan c/o BioTrace Medical, Inc. 3925 Bohannon Drive, Suite 200 Menlo Park CA CALIFORNIA 94025 Executive Officer Director Robert Brownell c/o BioTrace Medical, Inc. 3925 Bohannon Drive, Suite 200 Menlo Park CA CALIFORNIA 94025 Director Sharon Stevenson c/o BioTrace Medical, Inc. 3925 Bohannon Drive, Suite 200 Menlo Park CA CALIFORNIA 94025 Director Ronald Mizrahi c/o BioTrace Medical, Inc. 3925 Bohannon Drive, Suite 200 Menlo Park CA CALIFORNIA 94025 Director Shilen Patel c/o BioTrace Medical, Inc. 3925 Bohannon Drive, Suite 200 Menlo Park CA CALIFORNIA 94025 Director Other Health Care Decline to Disclose 06b false 2021-03-01 false true false 0 16315390 10865393 5449997 false 19 0 0 0 false BioTrace Medical, Inc. /s/Laura N. Dietch Laura N. Dietch President and CEO 2021-03-15