0001676258-19-000001.txt : 20191218 0001676258-19-000001.hdr.sgml : 20191218 20191218100350 ACCESSION NUMBER: 0001676258-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191218 DATE AS OF CHANGE: 20191218 EFFECTIVENESS DATE: 20191218 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: 021-355770 FILM NUMBER: 191291515 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 AVENUE SUITE 130 IRVINE CA CALIFORNIA 92612 949-872-2555 DELAWARE None None Corporation true 2016 Hans Keirstead 18301 Von Karman Avenue Suite 130 Irvine CA CALIFORNIA 92612 Executive Officer Director Scott Burell 18301 Von Karman Avenue Suite 130 Irvine CA CALIFORNIA 92612 Executive Officer Alexander Suh 18301 Von Karman Avenue Suite 130 Irvine CA CALIFORNIA 92612 Director Ungbae Lee 18301 Von Karman Avenue Suite 130 Irvine CA CALIFORNIA 92612 Director Paul Jenkinson 18301 Von Karman Avenue Suite 130 Irvine CA CALIFORNIA 92612 Director Philippe Schaison 18301 Von Karman Avenue Suite 130 Irvine CA CALIFORNIA 92612 Director Matthew Katz 18301 Von Karman Avenue Suite 130 Irvine CA CALIFORNIA 92612 Director Biotechnology Decline to Disclose 06b false 2019-12-04 false true false 0 25000000 11000015 13999985 false 2 0 0 0 false AiVita Biomedical, Inc. /s/ Hans Keirstead Hans Keirstead Chief Executive Officer 2019-12-18