0001615388-22-000001.txt : 20220916 0001615388-22-000001.hdr.sgml : 20220916 20220916161130 ACCESSION NUMBER: 0001615388-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220916 DATE AS OF CHANGE: 20220916 EFFECTIVENESS DATE: 20220916 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: 021-459141 FILM NUMBER: 221248184 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 1 primary_doc.xml X0708 D 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 Shupeng Cao 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Director Jackson Streeter 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Director Todd Christie 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Director Joseph Fontanetta 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Director Tracy Puckett 19578 10th Avenue NE, Suite 200 Poulsbo WA WASHINGTON 98370 Executive Officer Other Technology Decline to Disclose 06b false 2022-09-05 false true Convertible Note false 25000 2000000 819975 1180025 false 7 0 0 0 false LumiThera, Inc. Ryan Montecucco Ryan Montecucco General Counsel 2022-09-16