0001140361-15-040577.txt : 20151112 0001140361-15-040577.hdr.sgml : 20151111 20151110210118 ACCESSION NUMBER: 0001140361-15-040577 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151112 DATE AS OF CHANGE: 20151110 EFFECTIVENESS DATE: 20151112 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Three Rivers Medical Inc. CENTRAL INDEX KEY: 0001637254 IRS NUMBER: 473035834 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-251046 FILM NUMBER: 151220916 BUSINESS ADDRESS: STREET 1: 465 FAIRCHILD DRIVE STREET 2: SUITE 210 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 949-933-8730 MAIL ADDRESS: STREET 1: 465 FAIRCHILD DRIVE STREET 2: SUITE 210 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 FORMER COMPANY: FORMER CONFORMED NAME: Three Rivers Medical, Inc. DATE OF NAME CHANGE: 20150319 D 1 primary_doc.xml X0707 D LIVE 0001637254 Three Rivers Medical Inc. 465 Fairchild Drive Suite 210 Mountain View CA CALIFORNIA 94043 949-933-8730 DELAWARE None Three Rivers Medical, Inc. Corporation true 2015 Gilbert Clarke 465 Fairchild Drive Suite 201 California CA CALIFORNIA 94043 Executive Officer Director Leonardo Duarte 465 Fairchild Drive Suite 210 Mountain View CA CALIFORNIA 94043 Director Other Health Care Decline to Disclose 06b false 2015-03-10 false true true false 0 1010000 1010000 0 false 13 0 0 0 false Three Rivers Medical Inc. /s/ Gilbert Clarke Gilbert Clarke President, Chief Executive Officer and Secretary 2015-11-09