0001624178-20-000001.txt : 20200312 0001624178-20-000001.hdr.sgml : 20200312 20200312135754 ACCESSION NUMBER: 0001624178-20-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200312 DATE AS OF CHANGE: 20200312 EFFECTIVENESS DATE: 20200312 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-346015 FILM NUMBER: 20708147 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/A 1 primary_doc.xml X0708 D/A LIVE 0001624178 eyeBrain Medical, Inc. 3184 Airway Avenue Suite C Costa Mesa CA CALIFORNIA 92663 (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 John Tullis c/o eyeBrain Medical, Inc. 3184 Airway Avenue, Suite C Costa Mesa CA CALIFORNIA 92626 Director Biotechnology Decline to Disclose 06b true 0001624178-19-000002 2019-07-24 false true false 0 23999998 23819972 180026 false 24 0 0 0 false eyeBrain Medical, Inc. /s/ Davis Corley Davis Corley President 2020-03-12