0001609048-16-000004.txt : 20160913 0001609048-16-000004.hdr.sgml : 20160913 20160913155331 ACCESSION NUMBER: 0001609048-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160913 DATE AS OF CHANGE: 20160913 EFFECTIVENESS DATE: 20160913 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Potrero Medical, Inc. CENTRAL INDEX KEY: 0001609048 IRS NUMBER: 800853191 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-270536 FILM NUMBER: 161882883 BUSINESS ADDRESS: STREET 1: 101 MISSISSIPPI STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 415-926-8616 MAIL ADDRESS: STREET 1: 101 MISSISSIPPI STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: Consano Medical, Inc. DATE OF NAME CHANGE: 20140523 D 1 primary_doc.xml X0707 D LIVE 0001609048 Potrero Medical, Inc. 101 MISSISSIPPI STREET SAN FRANCISCO CA CALIFORNIA 94107 415-926-8616 DELAWARE Consano Medical, Inc. Corporation true 2012 Daniel Burnett c/o Potrero Medical, Inc. 101 Mississippi Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Alan Chesler c/o Potrero Medical, Inc. 101 Mississippi Street San Francisco CA CALIFORNIA 94107 Director Carter Meyer c/o Potrero Medical, Inc. 101 Mississippi Street San Francisco CA CALIFORNIA 94107 Director George Rapier c/o Potrero Medical, Inc. 101 Mississippi Street San Francisco CA CALIFORNIA 94107 Director David Greenberg c/o Potrero Medical, Inc. 101 Mississippi Street San Francisco CA CALIFORNIA 94107 Director Biotechnology Decline to Disclose 06b false 2016-08-30 false true false 0 12061558 4839258 7222300 false 14 0 0 0 false Potrero Medical, Inc. /s/Daniel Burnett Daniel Burnett President and CEO 2016-09-12