0001675633-16-000001.txt : 20160526 0001675633-16-000001.hdr.sgml : 20160526 20160525175724 ACCESSION NUMBER: 0001675633-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160526 DATE AS OF CHANGE: 20160525 EFFECTIVENESS DATE: 20160526 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Route 92 Medical, Inc. CENTRAL INDEX KEY: 0001675633 IRS NUMBER: 271721502 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-263888 FILM NUMBER: 161675683 BUSINESS ADDRESS: STREET 1: 1700 SOUTH EL CAMINO REAL, SUITE 206 CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: (650) 400-5268 MAIL ADDRESS: STREET 1: 1700 SOUTH EL CAMINO REAL, SUITE 206 CITY: SAN MATEO STATE: CA ZIP: 94402 D 1 primary_doc.xml X0707 D LIVE 0001675633 Route 92 Medical, Inc. 1700 SOUTH EL CAMINO REAL, SUITE 206 SAN MATEO CA CALIFORNIA 94402 (650) 400-5268 DELAWARE CBGB Medical, Inc. None Corporation true Tony Chou 1700 South El Camino Real, Suite 206 San Mateo CA CALIFORNIA 94402 Executive Officer Director Jonathan Root 1700 South El Camino Real, Suite 206 San Mateo CA CALIFORNIA 94402 Director Jack Lasersohn 1700 South El Camino Real, Suite 206 San Mateo CA CALIFORNIA 94402 Executive Officer Director John E. Runnells 1700 South El Camino Real, Suite 206 San Mateo CA CALIFORNIA 94402 Executive Officer Biotechnology Decline to Disclose 06b false 2016-05-16 false true false 0 5900000 5900000 0 false 1 0 0 0 false Route 92 Medical, Inc. /s/Tony Chou Tony Chou President 2016-05-25