0001609573-18-000004.txt : 20180813 0001609573-18-000004.hdr.sgml : 20180813 20180810184652 ACCESSION NUMBER: 0001609573-18-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180813 DATE AS OF CHANGE: 20180810 EFFECTIVENESS DATE: 20180813 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Farapulse, Inc. CENTRAL INDEX KEY: 0001609573 IRS NUMBER: 463315959 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-319020 FILM NUMBER: 181010008 BUSINESS ADDRESS: STREET 1: 3715 HAVEN AVENUE STREET 2: SUITE 110 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-556-5069 MAIL ADDRESS: STREET 1: 3715 HAVEN AVENUE STREET 2: SUITE 110 CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: Iowa Approach, Inc. DATE OF NAME CHANGE: 20140530 D 1 primary_doc.xml X0708 D LIVE 0001609573 Farapulse, Inc. 3715 HAVEN AVENUE SUITE 110 MENLO PARK CA CALIFORNIA 94025 650-556-5069 DELAWARE New IA, Inc. Iowa Approach, Inc. Corporation true 2014 Allan Zingeler c/o Farapulse, Inc. 3715 Haven Avenue, Suite 110 Menlo Park CA CALIFORNIA 94025 Executive Officer Director Robert Weisskoff c/o Farapulse, Inc. 3715 Haven Avenue, Suite 110 Menlo Park CA CALIFORNIA 94025 Director Christopher Kaster c/o Farapulse, Inc. 3715 Haven Avenue, Suite 110 Menlo Park CA CALIFORNIA 94025 Director James Eadie c/o Farapulse, Inc. 3715 Haven Avenue, Suite 110 Menlo Park CA CALIFORNIA 94025 Director Andrew Elbardissi c/o Farapulse, Inc. 3715 Haven Avenue, Suite 110 Menlo Park CA CALIFORNIA 94025 Director Biotechnology Decline to Disclose 06b false 2018-05-31 false true false 0 12000000 11999993 7 Series A-2 Preferred Stock; Common Stock issuable upon conversion of Series A-2 Preferred Stock. false 32 0 0 0 false Farapulse, Inc. /s/ Allan Zingeler Allan Zingeler President 2018-08-10