0001642545-16-000002.txt : 20161122 0001642545-16-000002.hdr.sgml : 20161122 20161122102043 ACCESSION NUMBER: 0001642545-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161122 DATE AS OF CHANGE: 20161122 EFFECTIVENESS DATE: 20161122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ShockWave Medical, Inc. CENTRAL INDEX KEY: 0001642545 IRS NUMBER: 270494101 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274939 FILM NUMBER: 162011957 BUSINESS ADDRESS: STREET 1: 48501 WARM SPRINGS BLVD. STREET 2: STE. 108 CITY: FREMONT STATE: CA ZIP: 94539 BUSINESS PHONE: 510-279-4262 MAIL ADDRESS: STREET 1: 48501 WARM SPRINGS BLVD. STREET 2: STE. 108 CITY: FREMONT STATE: CA ZIP: 94539 D 1 primary_doc.xml X0707 D LIVE 0001642545 ShockWave Medical, Inc. 48501 WARM SPRINGS BLVD. STE. 108 FREMONT CA CALIFORNIA 94539 510-279-4262 DELAWARE None None Corporation true Daniel Hawkins c/o ShockWave Medical, Inc. 48501 Warm Springs Blvd., Ste. 108 Fremont CA CALIFORNIA 94539 Executive Officer Director Todd J. Brinton c/o ShockWave Medical, Inc. 48501 Warm Springs Blvd., Ste. 108 Fremont CA CALIFORNIA 94539 Director Frederic H. Moll c/o ShockWave Medical, Inc. 48501 Warm Springs Blvd., Ste. 108 Fremont CA CALIFORNIA 94539 Director Antoine Papiernik c/o ShockWave Medical, Inc. 48501 Warm Springs Blvd., Ste. 108 Fremont CA CALIFORNIA 94539 Director Jay Watkins c/o ShockWave Medical, Inc. 48501 Warm Springs Blvd., Ste. 108 Fremont CA CALIFORNIA 94539 Director Colin Cahill c/o ShockWave Medical, Inc. 48501 Warm Springs Blvd., Ste. 108 Fremont CA CALIFORNIA 94539 Director Dan Puckett c/o ShockWave Medical, Inc. 48501 Warm Springs Blvd., Ste. 108 Fremont CA CALIFORNIA 94539 Executive Officer Other Health Care Decline to Disclose 06b false 2016-11-10 false true false 1 44999993 44999968 25 false 22 0 0 0 false ShockWave Medical, Inc. /s/ Daniel Hawkins Daniel Hawkins President 2016-11-22