0001624178-19-000001.txt : 20190807 0001624178-19-000001.hdr.sgml : 20190807 20190807155715 ACCESSION NUMBER: 0001624178-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190807 DATE AS OF CHANGE: 20190807 EFFECTIVENESS DATE: 20190807 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: 021-346015 FILM NUMBER: 191005326 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 X0708 D LIVE 0001624178 eyeBrain Medical, Inc. 3184 Airway Avenue Suite C Costa Mesa CA CALIFORNIA 92626 (949) 677-2017 DELAWARE Yelroc Neuro, Inc. None Corporation true Davis Corley c/o eyeBrain Medical, Inc. 3184 Airway Avenue, Suite C Costa Mesa CA CALIFORNIA 92626 Executive Officer Director J. Andy Corley c/o eyeBrain Medical, Inc. 3184 Airway Avenue, Suite C Costa Mesa CA CALIFORNIA 92626 Executive Officer Director Dean Butler c/o eyeBrain Medical, Inc. 3184 Airway Avenue, Suite C Costa Mesa CA CALIFORNIA 92626 Director Daniel Perales c/o eyeBrain Medical, Inc. 3184 Airway Avenue, Suite C Costa Mesa CA CALIFORNIA 92626 Executive Officer Tom Frinzi c/o eyeBrain Medical, Inc. 3184 Airway Avenue, Suite C Costa Mesa CA CALIFORNIA 92626 Director Steve T. Kirby c/o eyeBrain Medical, Inc. 3184 Airway Avenue, Suite C Costa Mesa CA CALIFORNIA 92626 Director William Link c/o eyeBrain Medical, Inc. 3184 Airway Avenue, Suite C Costa Mesa CA CALIFORNIA 92626 Director Biotechnology Decline to Disclose 06b false 2019-07-24 false true false 0 23999998 15174995 8825003 false 7 0 0 0 false eyeBrain Medical, Inc. /s/ Davis Corley Davis Corley President 2019-08-07