0001642344-15-000001.txt : 20150515
0001642344-15-000001.hdr.sgml : 20150515
20150515141821
ACCESSION NUMBER: 0001642344-15-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150515
DATE AS OF CHANGE: 20150515
EFFECTIVENESS DATE: 20150515
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: ClarVista Medical, Inc.
CENTRAL INDEX KEY: 0001642344
IRS NUMBER: 000000000
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-240020
FILM NUMBER: 15867892
BUSINESS ADDRESS:
STREET 1: 26800 ALISO VIEJO PARKWAY
STREET 2: SUITE 120
CITY: ALISO VIEJO
STATE: CA
ZIP: 92656
BUSINESS PHONE: 9499165412
MAIL ADDRESS:
STREET 1: 26800 ALISO VIEJO PARKWAY
STREET 2: SUITE 120
CITY: ALISO VIEJO
STATE: CA
ZIP: 92656
D
1
primary_doc.xml
X0707
D
LIVE
0001642344
ClarVista Medical, Inc.
26800 ALISO VIEJO PARKWAY
SUITE 120
ALISO VIEJO
CA
CALIFORNIA
92656
9499165412
MINNESOTA
Prospex Medical IV, Inc.
None
Corporation
true
2012
McLean
Paul
26800 Aliso Viejo Parkway
Suite 120
Aliso Viejo
CA
CALIFORNIA
92656
Executive Officer
Director
Behbahani
Ali
26800 Aliso Viejo Parkway
Suite 120
Aliso Viejo
CA
CALIFORNIA
92656
Director
Robert
Balch
26800 Aliso Viejo Parkway
Suite 120
Aliso Viejo
CA
CALIFORNIA
92656
Director
Cynthia
Yee
26800 Aliso Viejo Parkway
Suite 120
Aliso Viejo
CA
CALIFORNIA
92656
Director
Other Health Care
Decline to Disclose
- 06b
false
2015-04-30
false
true
true
false
20000
14519997
14519997
0
false
8
0
259000
true
0
Excludes normal compensation for officers.
false
ClarVista Medical, Inc.
Paul McLean
Paul McLean
President and CEO
2015-05-13