0001675633-21-000002.txt : 20210713 0001675633-21-000002.hdr.sgml : 20210713 20210713130848 ACCESSION NUMBER: 0001675633-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210713 DATE AS OF CHANGE: 20210713 EFFECTIVENESS DATE: 20210713 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: 021-406015 FILM NUMBER: 211087318 BUSINESS ADDRESS: STREET 1: 155 BOVET ROAD, SUITE 100 CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: 650-581-1179 MAIL ADDRESS: STREET 1: 155 BOVET ROAD, SUITE 100 CITY: SAN MATEO STATE: CA ZIP: 94402 D 1 primary_doc.xml X0708 D LIVE 0001675633 Route 92 Medical, Inc. 155 BOVET ROAD, SUITE 100 SAN MATEO CA CALIFORNIA 94402 650-581-1179 DELAWARE CBGB Medical, Inc. None Corporation true Tony Chou 155 Bovet Road, Suite 100 San Mateo CA CALIFORNIA 94402 Executive Officer Director Jonathan Root 155 Bovet Road, Suite 100 San Mateo CA CALIFORNIA 94402 Director Jack Lasersohn 155 Bovet Road, Suite 100 San Mateo CA CALIFORNIA 94402 Director Cindy Lynch 155 Bovet Road, Suite 100 San Mateo CA CALIFORNIA 94402 Executive Officer Casper de Clercq 525 University Avenue, Suite 800 Palo Alto CA CALIFORNIA 94301 Director Ariella Golomb 570 Lexington Avenue, 22nd Floor New York NY NEW YORK 10022 Director Appointed on 06/30/2021 Other Health Care Decline to Disclose 06b false 2021-06-30 false true false 0 61000001 46900004 14099997 false 4 0 0 0 false Route 92 Medical, Inc. /s/ Tony Chou Tony Chou Chief Executive Officer 2021-07-13