0001437749-21-016066.txt : 20210630 0001437749-21-016066.hdr.sgml : 20210630 20210630162025 ACCESSION NUMBER: 0001437749-21-016066 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210630 DATE AS OF CHANGE: 20210630 EFFECTIVENESS DATE: 20210630 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 4C Medical Technologies, Inc. CENTRAL INDEX KEY: 0001692028 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-368145 FILM NUMBER: 211062162 BUSINESS ADDRESS: STREET 1: 7600 BOONE AVENUE NORTH STREET 2: SUITE 7 CITY: BROOKLYN PARK STATE: MN ZIP: 55428 BUSINESS PHONE: 612-599-0650 MAIL ADDRESS: STREET 1: 7600 BOONE AVENUE NORTH STREET 2: SUITE 7 CITY: BROOKLYN PARK STATE: MN ZIP: 55428 D/A 1 primary_doc.xml X0708 D/A LIVE 0001692028 4C Medical Technologies, Inc. 6655 Wedgwood Road Suite 160 Maple Grove MN MINNESOTA 55311 612-599-0650 DELAWARE 4C Medical, Inc. None Corporation true Saravana Kumar 6655 Wedgwood Road Suite 160 Maple Grove MN MINNESOTA 55311 Executive Officer Director Jeffrey W. Chambers 6655 Wedgwood Road Suite 160 Maple Grove MN MINNESOTA 55311 Executive Officer Director Promoter Scott Youngstrom 6655 Wedgwood Road Suite 160 Maple Grove MN MINNESOTA 55311 Executive Officer Katherine Kumar 6655 Wedgwood Road Suite 160 Maple Grove MN MINNESOTA 55311 Executive Officer Buzz Benson 6655 Wedgwood Road Suite 160 Maple Grove MN MINNESOTA 55311 Director Jonathan Chen 6655 Wedgwood Road Suite 160 Maple Grove MN MINNESOTA 55311 Director Other Technology Decline to Disclose 06b true 0001437749-20-012282 2020-05-22 true true true false 0 10000000 10000000 0 The Convertible Notes are outstanding but the underlying offering is complete. false 39 0 0 0 true false 4C Medical Technologies, Inc. /s/ Scott Youngstrom Scott Youngstrom Chief Financial Officer 2021-06-30