0001140361-17-028427.txt : 20170724 0001140361-17-028427.hdr.sgml : 20170724 20170724114804 ACCESSION NUMBER: 0001140361-17-028427 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170724 DATE AS OF CHANGE: 20170724 EFFECTIVENESS DATE: 20170724 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CLARIFY MEDICAL, INC. CENTRAL INDEX KEY: 0001615353 IRS NUMBER: 462243956 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-291345 FILM NUMBER: 17977871 BUSINESS ADDRESS: STREET 1: 401 W. A STREET, SUITE 950 CITY: SAN DIEGO STATE: CA ZIP: 92101 BUSINESS PHONE: (858) 348-4959 MAIL ADDRESS: STREET 1: 401 W. A STREET, SUITE 950 CITY: SAN DIEGO STATE: CA ZIP: 92101 FORMER COMPANY: FORMER CONFORMED NAME: Clarify Medical, Inc. DATE OF NAME CHANGE: 20161013 FORMER COMPANY: FORMER CONFORMED NAME: Skylit Corp DATE OF NAME CHANGE: 20140730 D 1 primary_doc.xml X0708 D LIVE 0001615353 CLARIFY MEDICAL, INC. 401 W. A Street, Suite 950 SAN DIEGO CA CALIFORNIA 92101 858-348-4959 DELAWARE None Clarify Medical, Inc. Skylit Corp Corporation true 2014 James M. Sweeney 401 W. A Street, Suite 950 San Diego CA CALIFORNIA 92101 Executive Officer Director President and Chief Executive Officer Charlene Kakimoto, M.D. 401 W. A Street, Suite 950 San Diego CA CALIFORNIA 92101 Executive Officer Chief Medical Officer Rex Bright 401 W. A Street, Suite 950 San Diego CA CALIFORNIA 92101 Director John T. Buhler 401 W. A Street, Suite 950 San Diego CA CALIFORNIA 92101 Director David F. Hale 401 W. A Street, Suite 950 San Diego CA CALIFORNIA 92101 Director Chairman of the Board Amit Pandya, M.D. 401 W. A Street, Suite 950 San Diego CA CALIFORNIA 92101 Director Other Health Care Decline to Disclose 06b false 2017-07-06 false true true true false 0 5001000 3216106 1784894 Offering consists of 5,000,000 shares of Series 2 Preferred Stock at $1.00 per share and warrants to purchase up to 1,000,000 shares of Series 2 Preferred Stock at $0.001 per warrant share false 38 0 0 0 false CLARIFY MEDICAL, INC. /s/ James M. Sweeney James M. Sweeney President and Chief Executive Officer 2017-07-20