0001673107-16-000001.txt : 20160427 0001673107-16-000001.hdr.sgml : 20160427 20160426181921 ACCESSION NUMBER: 0001673107-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160427 DATE AS OF CHANGE: 20160426 EFFECTIVENESS DATE: 20160427 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CrossBay Medical, Inc. CENTRAL INDEX KEY: 0001673107 IRS NUMBER: 270549290 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-262083 FILM NUMBER: 161592940 BUSINESS ADDRESS: STREET 1: 369 THIRD ST., UNIT B #401 CITY: SAN RAFAEL STATE: CA ZIP: 94901 BUSINESS PHONE: 415-728-2847 MAIL ADDRESS: STREET 1: 369 THIRD ST., UNIT B #401 CITY: SAN RAFAEL STATE: CA ZIP: 94901 D 1 primary_doc.xml X0707 D LIVE 0001673107 CrossBay Medical, Inc. 369 THIRD ST., UNIT B #401 SAN RAFAEL CA CALIFORNIA 94901 415-728-2847 DELAWARE None None Corporation true 2014 Piush Vidyarthi 369 Third St., Unit B #401 San Rafael CA CALIFORNIA 94901 Executive Officer Director Steve Bacich 369 Third St., Unit B #401 San Rafael CA CALIFORNIA 94901 Executive Officer Director Kelly Roy 369 Third St., Unit B #401 San Rafael CA CALIFORNIA 94901 Director Cristiano Fontana 369 Third St., Unit B #401 San Rafael CA CALIFORNIA 94901 Executive Officer Director Adrian M. Rich 369 Third St., Unit B #401 San Rafael CA CALIFORNIA 94901 Executive Officer Other Decline to Disclose 06b false 2016-04-18 false true false 0 2001600 9999 1991601 Series A Preferred Stock false 2 0 0 0 false CrossBay Medical, Inc. /s/ Adrian M. Rich Adrian M. Rich Secretary 2016-04-26