0001642545-17-000001.txt : 20171010 0001642545-17-000001.hdr.sgml : 20171009 20171010110545 ACCESSION NUMBER: 0001642545-17-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171010 DATE AS OF CHANGE: 20171010 EFFECTIVENESS DATE: 20171010 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-274939 FILM NUMBER: 171129393 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/A 1 primary_doc.xml X0708 D/A LIVE 0001642545 ShockWave Medical, Inc. 48501 WARM SPRINGS BLVD. STE. 108 FREMONT CA CALIFORNIA 94539 510-279-4262 DELAWARE None None Corporation true Doug Godshall 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 Michael Sjostrom c/o ShockWave Medical, Inc. 48501 Warm Springs Blvd., Ste. 108 Fremont CA CALIFORNIA 94539 Director Other Health Care Decline to Disclose 06b true 0001642545-16-000002 2016-11-10 false true false 1 79999992 79999967 25 false 27 0 0 0 false ShockWave Medical, Inc. /s/ Doug Godshall Doug Godshall President 2017-10-10