0001624178-15-000001.txt : 20151228 0001624178-15-000001.hdr.sgml : 20151225 20151228170739 ACCESSION NUMBER: 0001624178-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151228 DATE AS OF CHANGE: 20151228 EFFECTIVENESS DATE: 20151228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: eyeBrain Medical, Inc. CENTRAL INDEX KEY: 0001624178 IRS NUMBER: 455334353 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-253970 FILM NUMBER: 151309882 BUSINESS ADDRESS: STREET 1: 540 SAN BERNADINO AVENUE CITY: NEWPORT BEACH STATE: CA ZIP: 92663 BUSINESS PHONE: (949) 677-2017 MAIL ADDRESS: STREET 1: 540 SAN BERNADINO AVENUE CITY: NEWPORT BEACH STATE: CA ZIP: 92663 D 1 primary_doc.xml X0707 D LIVE 0001624178 eyeBrain Medical, Inc. 2227 Cliff Drive NEWPORT BEACH CA CALIFORNIA 92663 (949) 677-2017 DELAWARE Yelroc Neuro, Inc. None Corporation true 2012 Davis Corley c/o eyeBrain Medical, Inc. 2227 Cliff Drive Newport Beach CA CALIFORNIA 92663 Executive Officer Biotechnology Decline to Disclose 06b false 2015-12-14 false true false 0 6040481 6040481 0 $5,550,001.63 in new money; $490,479.64 cancellation of debt false 21 0 0 0 false eyeBrain Medical, Inc. /s/ Davis Corley Davis Corley President 2015-12-28