0001615388-21-000001.txt : 20211019 0001615388-21-000001.hdr.sgml : 20211019 20211019165855 ACCESSION NUMBER: 0001615388-21-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211019 DATE AS OF CHANGE: 20211019 EFFECTIVENESS DATE: 20211019 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-383896 FILM NUMBER: 211331742 BUSINESS ADDRESS: STREET 1: 19332 POWDER HILL PLACE CITY: POULSBO STATE: WA ZIP: 98370 BUSINESS PHONE: (360) 536-5119 MAIL ADDRESS: STREET 1: 19332 POWDER HILL PLACE CITY: POULSBO STATE: WA ZIP: 98370 D/A 1 primary_doc.xml X0708 D/A LIVE 0001615388 LumiThera, Inc. 19578 10th AVE NE, Suite 200 Poulsbo WA WASHINGTON 98370 (360) 536-5119 DELAWARE None None Corporation true Clark Tedford 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Executive Officer Director Cindy Croissant 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Executive Officer Duane Morrison 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Executive Officer Scott Bradley 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Executive Officer Ryan Montecucco 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Executive Officer Daniel Bertholet 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Director Yang Yigang 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Director Other Technology Decline to Disclose 06b true 0001615388-20-000001 2020-12-08 false true Convertible Note false 15000 Margot DeFrance 2720232 Entoro Securities 35192 Entoro Securities 333 W. Loop N., Suite 333 Houston TX TEXAS 77024 true 8055500 4524500 3531000 false 56 0 101080 0 false LumiThera, Inc. Ryan Montecucco Ryan Montecucco Corporate Secretary 2021-10-19