0001675633-18-000001.txt : 20180817 0001675633-18-000001.hdr.sgml : 20180817 20180817143339 ACCESSION NUMBER: 0001675633-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180817 DATE AS OF CHANGE: 20180817 EFFECTIVENESS DATE: 20180817 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: 021-319535 FILM NUMBER: 181025555 BUSINESS ADDRESS: STREET 1: 1700 SOUTH EL CAMINO REAL, SUITE 206 CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: 650-581-1179 MAIL ADDRESS: STREET 1: 1700 SOUTH EL CAMINO REAL, SUITE 206 CITY: SAN MATEO STATE: CA ZIP: 94402 D 1 primary_doc.xml X0708 D LIVE 0001675633 Route 92 Medical, Inc. 1700 SOUTH EL CAMINO REAL, SUITE 206 SAN MATEO CA CALIFORNIA 94402 650-581-1179 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 Director John E. Runnells 1700 South El Camino Real, Suite 206 San Mateo CA CALIFORNIA 94402 Executive Officer Other Health Care Decline to Disclose 06b false 2018-08-15 false true false 0 6728135 4728135 2000000 false 1 0 0 0 false Route 92 Medical, Inc. /s/ Tony Chou Tony Chou Chief Executive Officer 2018-08-17