0001668653-19-000002.txt : 20191015 0001668653-19-000002.hdr.sgml : 20191015 20191015135740 ACCESSION NUMBER: 0001668653-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191015 DATE AS OF CHANGE: 20191015 EFFECTIVENESS DATE: 20191015 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Kalera Medical, Inc. CENTRAL INDEX KEY: 0001668653 IRS NUMBER: 811510524 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-351025 FILM NUMBER: 191150538 BUSINESS ADDRESS: STREET 1: 3525 DEL MAR HEIGHTS ROAD STE 610 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: 4795712592 MAIL ADDRESS: STREET 1: 3525 DEL MAR HEIGHTS ROAD STE 610 CITY: SAN DIEGO STATE: CA ZIP: 92130 D 1 primary_doc.xml X0708 D LIVE 0001668653 Kalera Medical, Inc. 3525 DEL MAR HEIGHTS ROAD STE 610 SAN DIEGO CA CALIFORNIA 92130 4795712592 DELAWARE None None Corporation true 2016 Jee Shin c/o Kalera Medical, Inc. 3525 Del Mar Heights Road Ste 610 San Diego CA CALIFORNIA 92130 Executive Officer Director Robert Calvin Goforth c/o Kalera Medical, Inc. 3525 Del Mar Heights Road Ste 610 San Diego CA CALIFORNIA 92130 Director Douglas Hughes c/o Kalera Medical, Inc. 3525 Del Mar Heights Road Ste 610 San Diego CA CALIFORNIA 92130 Director Beverly Huss c/o Kalera Medical, Inc. 3525 Del Mar Heights Road Ste 610 San Diego CA CALIFORNIA 92130 Director Ryan Drant c/o Kalera Medical, Inc. 3525 Del Mar Heights Road Ste 610 San Diego CA CALIFORNIA 92130 Director Other Health Care Decline to Disclose 06b false 2019-10-02 false true false 0 15863376 12863376 3000000 Includes amounts paid both in cash and pursuant to automatic conversion of indebtedness. false 20 0 0 0 false Kalera Medical, Inc. /s/ Jee Shin Jee Shin Chief Executive Officer 2019-10-11