0001437749-16-039464.txt : 20161004 0001437749-16-039464.hdr.sgml : 20161004 20161004154000 ACCESSION NUMBER: 0001437749-16-039464 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161004 DATE AS OF CHANGE: 20161004 EFFECTIVENESS DATE: 20161004 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provisio Medical, Inc. CENTRAL INDEX KEY: 0001685703 IRS NUMBER: 200305318 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-271801 FILM NUMBER: 161918633 BUSINESS ADDRESS: STREET 1: 10449 HUNTERS RIDGE PLACE CITY: SAN DIEGO STATE: CA ZIP: 92127 BUSINESS PHONE: 5087409940 MAIL ADDRESS: STREET 1: 10449 HUNTERS RIDGE PLACE CITY: SAN DIEGO STATE: CA ZIP: 92127 D 1 primary_doc.xml X0707 D LIVE 0001685703 Provisio Medical, Inc. 10449 HUNTERS RIDGE PLACE SAN DIEGO CA CALIFORNIA 92127 5087409940 DELAWARE None None Corporation true 2014 Stephen Eric Ryan 10449 Hunters Ridge Place San Diego CA CALIFORNIA 92127 Executive Officer Director Promoter Other Technology Decline to Disclose 06b false 2016-09-28 false true true Preferred Stock false 50000 1000000 650000 350000 false 10 0 0 75000 true false Provisio Medical, Inc. /s/ Stephen Eric Ryan Stephen Eric Ryan President 2016-10-04