0001625411-16-000003.txt : 20161107 0001625411-16-000003.hdr.sgml : 20161107 20161107164840 ACCESSION NUMBER: 0001625411-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161107 DATE AS OF CHANGE: 20161107 EFFECTIVENESS DATE: 20161107 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Asana Medical, Inc. CENTRAL INDEX KEY: 0001625411 IRS NUMBER: 800938893 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-273965 FILM NUMBER: 161978727 BUSINESS ADDRESS: STREET 1: 6135 NW 167TH STREET STREET 2: SUITE: E-15 CITY: MIAMI LAKES STATE: FL ZIP: 33015 BUSINESS PHONE: 305-819-2500 MAIL ADDRESS: STREET 1: 6135 NW 167TH STREET STREET 2: SUITE: E-15 CITY: MIAMI LAKES STATE: FL ZIP: 33015 D 1 primary_doc.xml X0707 D LIVE 0001625411 Asana Medical, Inc. 6135 NW 167TH STREET SUITE: E-15 MIAMI LAKES FL FLORIDA 33015 8444327262 FLORIDA None None Corporation true 2013 Gerard S. Coombs 6135 NW 167th Street Suite E 15 Miami Lakes FL FLORIDA 33015 Executive Officer Gary Ramphal 6135 NW 167th Street Suite E 15 Miami Lakes FL FLORIDA 33015 Executive Officer Christine Sapan 6135 NW 167th Street Suite E 15 Miami Lakes FL FLORIDA 33015 Director Richard Bulman, Jr. 6135 NW 167th Street Suite E 15 Miami Lakes FL FLORIDA 33015 Executive Officer Biotechnology No Revenues 06b false 2016-06-30 false true true 12% Convertible Notes Converted to Series A Preferred Shares false 10000 None None None None None None None XX Unknown None FL FLORIDA IL ILLINOIS MA MASSACHUSETTS NY NEW YORK NC NORTH CAROLINA PA PENNSYLVANIA TN TENNESSEE false 1452460 1452460 0 The 12% convertible notes outstanding were converted in June 2016 to Series A Preferred Shares. No Additional funds raised. false 19 0 0 650000 true The identified amount is related to compensation pursuant to employment agreements payable every year, and not payments tied to the offering. false Asana Medical, Inc. Gerard S. Coombs Gerard S. Coombs COO 2016-11-07