0001609048-18-000001.txt : 20180710 0001609048-18-000001.hdr.sgml : 20180710 20180709182210 ACCESSION NUMBER: 0001609048-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180710 DATE AS OF CHANGE: 20180709 EFFECTIVENESS DATE: 20180710 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: 021-316336 FILM NUMBER: 18945593 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 X0708 D LIVE 0001609048 Potrero Medical, Inc. 101 MISSISSIPPI STREET SAN FRANCISCO CA CALIFORNIA 94107 415-926-8616 DELAWARE Consano Medical, Inc. Corporation true 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 Joe Urban c/o Potrero Medical, Inc. 101 Mississippi Street San Francisco CA CALIFORNIA 94107 Executive Officer Biotechnology Decline to Disclose 06b false 2018-05-25 false true false 1 31332845 24642458 6690387 false 32 0 0 0 false Potrero Medical, Inc. /s/ Joseph Urban Joseph Urban President and CEO 2018-07-09