0001604459-18-000001.txt : 20180402 0001604459-18-000001.hdr.sgml : 20180402 20180402165154 ACCESSION NUMBER: 0001604459-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180402 DATE AS OF CHANGE: 20180402 EFFECTIVENESS DATE: 20180402 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RefleXion Medical, Inc. CENTRAL INDEX KEY: 0001604459 IRS NUMBER: 264487874 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-309122 FILM NUMBER: 18729698 BUSINESS ADDRESS: STREET 1: 25821 INDUSTRIAL BLVD, STE. 200 CITY: HAYWARD STATE: X1 ZIP: 94545 BUSINESS PHONE: 650-521-5916 MAIL ADDRESS: STREET 1: 25821 INDUSTRIAL BLVD, STE. 200 CITY: HAYWARD STATE: X1 ZIP: 94545 D 1 primary_doc.xml X0708 D LIVE 0001604459 RefleXion Medical, Inc. 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD X1 UNITED STATES 94545 650-239-9070 DELAWARE RefleXion, Inc. None Corporation true TODD POWELL 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD CA CALIFORNIA 94545 Executive Officer Director SAMUEL MAZIN 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD CA CALIFORNIA 94545 Executive Officer Director ANTOINE PAPIERNIK 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD CA CALIFORNIA 94545 Director BILL BURKOTH 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD CA CALIFORNIA 94545 Director JAY WATKINS 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD CA CALIFORNIA 94545 Director GREG GARFIELD 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD CA CALIFORNIA 94545 Director FRED MOLL 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD CA CALIFORNIA 94545 Director MATTHEW HOBART 25841 INDUSTRIAL BLVD, STE. 275 HAYWARD CA CALIFORNIA 94545 Director Other Health Care Decline to Disclose 06b false 2018-03-16 false true false 0 102600000 96499991 6100009 false 18 0 0 0 false RefleXion Medical, Inc. /s/ Todd M. Powell TODD M. POWELL PRESIDENT AND CEO 2018-04-02