0001675633-19-000001.txt : 20190510 0001675633-19-000001.hdr.sgml : 20190510 20190510122622 ACCESSION NUMBER: 0001675633-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190510 DATE AS OF CHANGE: 20190510 EFFECTIVENESS DATE: 20190510 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: 021-339316 FILM NUMBER: 19813749 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 Casper de Clercq 525 University Avenue, Suite 800 Palo Alto CA CALIFORNIA 94301 Director Appointed on 05/02/2019 Other Health Care Decline to Disclose 06b false 2019-05-02 false true false 0 12999994 12999994 0 false 2 0 0 0 false Route 92 Medical, Inc. /Tony Chou/ Tony Chou Chief Executive Officer 2019-05-10