0001661043-21-000002.txt : 20211101 0001661043-21-000002.hdr.sgml : 20211101 20211101160718 ACCESSION NUMBER: 0001661043-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211101 DATE AS OF CHANGE: 20211101 EFFECTIVENESS DATE: 20211101 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medable Inc. CENTRAL INDEX KEY: 0001661043 IRS NUMBER: 460870262 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-419395 FILM NUMBER: 211367193 BUSINESS ADDRESS: STREET 1: 525 UNIVERSITY AVENUE STREET 2: SUITE A70 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 505-463-8394 MAIL ADDRESS: STREET 1: 525 UNIVERSITY AVENUE STREET 2: SUITE A70 CITY: PALO ALTO STATE: CA ZIP: 94301 D 1 primary_doc.xml X0708 D LIVE 0001661043 Medable Inc. 525 UNIVERSITY AVENUE SUITE A70 PALO ALTO CA CALIFORNIA 94301 505-463-8394 DELAWARE Dermtap, Inc. None Corporation true Michelle Longmire 525 University Avenue Suite A70 Palo Alto CA CALIFORNIA 94301 Executive Officer Director Timothy R. Smith 525 University Avenue Suite A70 Palo Alto CA CALIFORNIA 94301 Executive Officer Director Young A. Sohn 525 University Avenue Suite A70 Palo Alto CA CALIFORNIA 94301 Director Anna Long 525 University Avenue Suite A70 Palo Alto CA CALIFORNIA 94301 Director Richard Lim 525 University Avenue Suite A70 Palo Alto CA CALIFORNIA 94301 Director David Hartwig 525 University Avenue Suite A70 Palo Alto CA CALIFORNIA 94301 Director Perry Robinson 525 University Avenue Suite A70 Palo Alto CA CALIFORNIA 94301 Executive Officer Other Health Care Decline to Disclose 06b false 2021-09-30 false true true false 0 304000585 304000585 0 false 8 0 0 0 false Medable Inc. Perry Robinson Perry Robinson General Counsel and Secretary 2021-10-07