0001615388-16-000001.txt : 20161019 0001615388-16-000001.hdr.sgml : 20161019 20161018191341 ACCESSION NUMBER: 0001615388-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161019 DATE AS OF CHANGE: 20161018 EFFECTIVENESS DATE: 20161019 FILER: COMPANY DATA: COMPANY CONFORMED NAME: LumiThera, Inc. CENTRAL INDEX KEY: 0001615388 IRS NUMBER: 462828838 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-272806 FILM NUMBER: 161941632 BUSINESS ADDRESS: STREET 1: 4058 NE LOOKOUT LANE CITY: POULSBO STATE: WA ZIP: 98370 BUSINESS PHONE: (360) 536-5119 MAIL ADDRESS: STREET 1: 4058 NE LOOKOUT LANE CITY: POULSBO STATE: WA ZIP: 98370 D 1 primary_doc.xml X0707 D LIVE 0001615388 LumiThera, Inc. 19332 Powder Hill Place POULSBO WA WASHINGTON 98370 (360) 536-5119 DELAWARE None None Corporation true 2013 Clark Tedford 19332 Powder Hill Place Poulsbo WA WASHINGTON 98370 Executive Officer Director Robert Dotson 19332 Powder Hill Place Poulsbo WA WASHINGTON 98370 Director Graham Merry 19332 Powder Hill Place Poulsbo WA WASHINGTON 98370 Director Art Taylor 19332 Powder Hill Place Poulsbo WA WASHINGTON 98370 Director Other Health Care Decline to Disclose 06b false true false true false 50000 5000000 0 5000000 false 0 0 0 0 false LumiThera, Inc. Ryan Montecucco Ryan Montecucco Attorney 2016-10-18