0001699042-17-000001.txt : 20170303 0001699042-17-000001.hdr.sgml : 20170303 20170302174738 ACCESSION NUMBER: 0001699042-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170303 DATE AS OF CHANGE: 20170302 EFFECTIVENESS DATE: 20170303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Serenity Medical, Inc. CENTRAL INDEX KEY: 0001699042 IRS NUMBER: 475635463 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-281692 FILM NUMBER: 17660384 BUSINESS ADDRESS: STREET 1: 6 CAYUGA TRAIL CITY: HARRISON STATE: NY ZIP: 10528 BUSINESS PHONE: 914-216-1569 MAIL ADDRESS: STREET 1: 6 CAYUGA TRAIL CITY: HARRISON STATE: NY ZIP: 10528 D 1 primary_doc.xml X0707 D LIVE 0001699042 Serenity Medical, Inc. 6 CAYUGA TRAIL HARRISON NY NEW YORK 10528 914-216-1569 DELAWARE None None Corporation true 2015 Gary Castro 6 Cayuga Trail Harrison NY NEW YORK 10528 Executive Officer Director Pierre Gobin 6 Cayuga Trail Harrison NY NEW YORK 10528 Executive Officer Director Martin Dieck 6 Cayuga Trail Harrison NY NEW YORK 10528 Executive Officer Director Brian Martin 6 Cayuga Trail Harrison NY NEW YORK 10528 Director Adrian M. Rich 305 Lytton Avenue Palo Alto CA CALIFORNIA 94301 Executive Officer Other Decline to Disclose 06b false 2017-02-22 false true false 0 4000000 3084995 915005 false 20 0 0 0 false Serenity Medical, Inc. /s/ Adrian M. Rich Adrian M. Rich Secretary 2017-03-02