0001609048-19-000001.txt : 20190712 0001609048-19-000001.hdr.sgml : 20190712 20190712161923 ACCESSION NUMBER: 0001609048-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190712 DATE AS OF CHANGE: 20190712 EFFECTIVENESS DATE: 20190712 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: 021-344203 FILM NUMBER: 19953232 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. 26142 Eden Landing Road Hayward CA CALIFORNIA 94545 415-926-8616 DELAWARE Consano Medical, Inc. Corporation true Daniel Burnett c/o Potrero Medical, Inc. 26142 Eden Landing Road Hayward CA CALIFORNIA 94545 Director Alan Chesler c/o Potrero Medical, Inc. 26142 Eden Landing Road Hayward CA CALIFORNIA 94545 Director Carter Meyer c/o Potrero Medical, Inc. 26142 Eden Landing Road Hayward CA CALIFORNIA 94545 Director Frederic H. Moll c/o Potrero Medical, Inc. 26142 Eden Landing Road Hayward CA CALIFORNIA 94545 Director Jay Watkins c/o Potrero Medical, Inc. 26142 Eden Landing Road Hayward CA CALIFORNIA 94545 Director Joe Urban c/o Potrero Medical, Inc. 26142 Eden Landing Road Hayward CA CALIFORNIA 94545 Executive Officer Director Biotechnology Decline to Disclose 06b false 2019-06-28 false true false 1 14999999 11742968 3257031 false 20 0 0 0 false Potrero Medical, Inc. /s/ Joseph Urban Joseph Urban President and CEO 2019-07-12