0001676258-16-000001.txt : 20160606 0001676258-16-000001.hdr.sgml : 20160606 20160606130919 ACCESSION NUMBER: 0001676258-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160606 DATE AS OF CHANGE: 20160606 EFFECTIVENESS DATE: 20160606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AiVita Biomedical, Inc. CENTRAL INDEX KEY: 0001676258 IRS NUMBER: 811065485 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-264429 FILM NUMBER: 161698095 BUSINESS ADDRESS: STREET 1: 18301 VON KARMAN AVE., SUITE 130 CITY: IRVINE STATE: CA ZIP: 92612 BUSINESS PHONE: 949-466-0380 MAIL ADDRESS: STREET 1: 18301 VON KARMAN AVE., SUITE 130 CITY: IRVINE STATE: CA ZIP: 92612 D 1 primary_doc.xml X0707 D LIVE 0001676258 AiVita Biomedical, Inc. 18301 VON KARMAN AVE., SUITE 130 IRVINE CA CALIFORNIA 92612 949-466-0380 DELAWARE None None Corporation true 2016 Hans S. Keirstead 18301 Von Karman Ave., Suite 130 Irvine CA CALIFORNIA 92612 Executive Officer Director Gabriel Nistor 18301 Von Karman Ave., Suite 130 Irvine CA CALIFORNIA 92612 Executive Officer Alexander B. Suh 18301 Von Karman Ave., Suite 130 Irvine CA CALIFORNIA 92612 Director Biotechnology Decline to Disclose 06b false 2016-05-24 false true false 0 3007670 2007668 1000002 false 2 0 0 0 false AiVita Biomedical, Inc. /s/Hans S. Keirstead Hans S. Keirstead Chief Executive Officer 2016-06-06