0001676258-22-000002.txt : 20220830 0001676258-22-000002.hdr.sgml : 20220830 20220830162938 ACCESSION NUMBER: 0001676258-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220830 DATE AS OF CHANGE: 20220830 EFFECTIVENESS DATE: 20220830 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: 021-457482 FILM NUMBER: 221214895 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 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 Chris Fibiger 18301 Von Karman Avenue Suite 130 Irvine CA CALIFORNIA 92612 Director Biotechnology $5,000,001 - $25,000,000 06b false 2022-08-24 false true false 250000 84999990 6048000 78951990 Total amount sold includes $2,047,980 of converted indebtedness and accrued interest. false 4 0 0 0 false AiVita Biomedical, Inc. /s/ Hans Keirstead Hans Keirstead Chief Executive Officer 2022-08-30