0001676258-18-000003.txt : 20180720 0001676258-18-000003.hdr.sgml : 20180720 20180720134912 ACCESSION NUMBER: 0001676258-18-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180720 DATE AS OF CHANGE: 20180720 EFFECTIVENESS DATE: 20180720 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: 021-317414 FILM NUMBER: 18962155 BUSINESS ADDRESS: STREET 1: 18301 VON KARMAN AVE., SUITE 130 CITY: IRVINE STATE: CA ZIP: 92612 BUSINESS PHONE: 949-872-2555 MAIL ADDRESS: STREET 1: 18301 VON KARMAN AVE., SUITE 130 CITY: IRVINE STATE: CA ZIP: 92612 D 1 primary_doc.xml X0708 D LIVE 0001676258 AiVita Biomedical, Inc. 18301 VON KARMAN AVE., SUITE 130 IRVINE CA CALIFORNIA 92612 949-872-2555 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 Susan Bloomfield 18301 Von Karman Ave., Suite 130 Irvine CA CALIFORNIA 92612 Director Ed Inal 18301 Von Karman Ave., Suite 130 Irvine CA CALIFORNIA 92612 Executive Officer Ungbae Lee 18301 Von Karman Ave., Suite 130 Irvine CA CALIFORNIA 92612 Director Biotechnology Decline to Disclose 06b false 2018-07-06 false true false 0 16967787 16967787 0 false 8 0 0 0 false AiVita Biomedical, Inc. /s/Hans S. Keirstead Hans S. Keirstead Chief Executive Officer 2018-07-20