0001630786-17-000003.txt : 20170801 0001630786-17-000003.hdr.sgml : 20170801 20170731183816 ACCESSION NUMBER: 0001630786-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170801 DATE AS OF CHANGE: 20170731 EFFECTIVENESS DATE: 20170801 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Shape Memory Medical Inc. CENTRAL INDEX KEY: 0001630786 IRS NUMBER: 263929045 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-291834 FILM NUMBER: 17994227 BUSINESS ADDRESS: STREET 1: 807 ALDO AVENUE, SUITE 109 CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: (408) 649-5175 MAIL ADDRESS: STREET 1: 807 ALDO AVENUE, SUITE 109 CITY: SANTA CLARA STATE: CA ZIP: 95054 FORMER COMPANY: FORMER CONFORMED NAME: DEP Shape Memory Therapeutics, Inc. DATE OF NAME CHANGE: 20150114 D 1 primary_doc.xml X0708 D LIVE 0001630786 Shape Memory Medical Inc. 807 ALDO AVENUE, SUITE 109 SANTA CLARA CA CALIFORNIA 95054 (408) 649-5175 DELAWARE DEP Shape Memory Therapeutics, Inc. Corporation true 2016 Edward F. Ruppel, Jr. 807 Aldo Avenue, Suite 109 Santa Clara CA CALIFORNIA 95054 Executive Officer Director Duncan Maitland 807 Aldo Avenue, Suite 109 Santa Clara CA CALIFORNIA 95054 Director Michael Henson 807 Aldo Avenue, Suite 109 Santa Clara CA CALIFORNIA 95054 Director Jim Gamett 807 Aldo Avenue, Suite 109 Santa Clara CA CALIFORNIA 95054 Director Thomas Thaler 807 Aldo Avenue, Suite 109 Santa Clara CA CALIFORNIA 95054 Director Carolyn M. Bruguera 807 Aldo Avenue, Suite 109 Santa Clara CA CALIFORNIA 95054 Executive Officer Other Health Care Decline to Disclose 06b false 2017-07-19 false true false 7499 14000000 7000001 6999999 Series B Preferred Stock false 15 0 0 0 false Shape Memory Medical Inc. /s/: Edward F. Ruppel, Jr. Edward F. Ruppel, Jr Chief Executive Officer 2017-07-28