0001675633-24-000001.txt : 20240712 0001675633-24-000001.hdr.sgml : 20240712 20240712162649 ACCESSION NUMBER: 0001675633-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240712 DATE AS OF CHANGE: 20240712 EFFECTIVENESS DATE: 20240712 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Route 92 Medical, Inc. CENTRAL INDEX KEY: 0001675633 ORGANIZATION NAME: IRS NUMBER: 271721502 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-518643 FILM NUMBER: 241114761 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 Casper de Clercq 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 Ariella Golomb 155 Bovet Road Suite 100 San Mateo CA CALIFORNIA 94402 Director Tamir Meiri 155 Bovet Road Suite 100 San Mateo CA CALIFORNIA 94402 Director Noel Jee 155 Bovet Road Suite 100 San Mateo CA CALIFORNIA 94402 Director Other Health Care Decline to Disclose 06b false 2024-06-28 false true false 0 50398458 50398458 0 false 5 0 0 0 false Route 92 Medical, Inc. /s/ Tony Chou Tony Chou CEO 2024-07-12