0001437749-17-009434.txt : 20170517 0001437749-17-009434.hdr.sgml : 20170517 20170517082015 ACCESSION NUMBER: 0001437749-17-009434 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170517 DATE AS OF CHANGE: 20170517 EFFECTIVENESS DATE: 20170517 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-271801 FILM NUMBER: 17850323 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/A 1 primary_doc.xml X0707 D/A 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 true 0001437749-16-039464 2016-09-28 false true true Preferred Stock false 25000 1300000 1300000 0 false 10 0 0 175000 true false Provisio Medical, Inc. /s/ Stephen Eric Ryan Stephen Eric Ryan President 2017-05-17