0001694306-19-000001.txt : 20190103 0001694306-19-000001.hdr.sgml : 20190103 20190103144832 ACCESSION NUMBER: 0001694306-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190103 DATE AS OF CHANGE: 20190103 EFFECTIVENESS DATE: 20190103 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ColubrisMX, Inc. CENTRAL INDEX KEY: 0001694306 IRS NUMBER: 811763899 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-329553 FILM NUMBER: 19504942 BUSINESS ADDRESS: STREET 1: 327 TERRACE DRIVE CITY: HOUSTON STATE: TX ZIP: 77007 BUSINESS PHONE: 832-472-5156 MAIL ADDRESS: STREET 1: 327 TERRACE DRIVE CITY: HOUSTON STATE: TX ZIP: 77007 D 1 primary_doc.xml X0708 D LIVE 0001694306 ColubrisMX, Inc. 9310 Kirby Drive Suite 100 HOUSTON TX TEXAS 77054 650-714-1479 DELAWARE None None Corporation true 2016 Daniel H. Kim 9310 Kirby Drive Suite 100 Houston TX TEXAS 77054 Executive Officer Director Daniel Wolterman 9310 Kirby Drive Suite 100 Houston TX TEXAS 77054 Executive Officer Cary McNair 9310 Kirby Drive Suite 100 Houston TX TEXAS 77054 Director Neeraj Agrawal 9310 Kirby Drive Suite 100 Houston TX TEXAS 77054 Director Other Health Care Decline to Disclose 06b false 2018-12-19 false true false 0 4000000 3999998 2 false 3 0 0 0 false ColubrisMX, Inc. Daniel H. Kim Daniel H. Kim President 2019-01-03