0001675633-17-000001.txt : 20170502 0001675633-17-000001.hdr.sgml : 20170502 20170502120411 ACCESSION NUMBER: 0001675633-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170502 DATE AS OF CHANGE: 20170502 EFFECTIVENESS DATE: 20170502 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: 021-285867 FILM NUMBER: 17803780 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 650-581-1179 DELAWARE None None Corporation true Tony Chou 1700 South El Camino Real, Suite 206 San Mateo CA CALIFORNIA 94402 Executive Officer Director Other Health Care Decline to Disclose 06b false 2017-04-20 false true false 0 5855447 5855447 0 false 1 0 0 0 false Route 92 Medical, Inc. /s/Tony Chou Tony Chou Chief Executive Officer 2017-05-02