0001065949-17-000032.txt : 20170309 0001065949-17-000032.hdr.sgml : 20170309 20170309104750 ACCESSION NUMBER: 0001065949-17-000032 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170309 DATE AS OF CHANGE: 20170309 EFFECTIVENESS DATE: 20170309 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AQUA MEDICAL LLC CENTRAL INDEX KEY: 0001700355 IRS NUMBER: 814826631 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-282123 FILM NUMBER: 17677369 BUSINESS ADDRESS: STREET 1: 191 W. SECOND ST. CITY: SANTA ANA STATE: CA ZIP: 92701 BUSINESS PHONE: 949-329-5306 MAIL ADDRESS: STREET 1: 191 W. SECOND ST. CITY: SANTA ANA STATE: CA ZIP: 92701 D 1 primary_doc.xml X0707 D LIVE 0001700355 AQUA MEDICAL LLC 191 W. SECOND ST. SANTA ANA CA CALIFORNIA 92701 949-329-5306 DELAWARE None None Limited Liability Company true 2016 LLOYD MENCINGER 191 W. SECOND ST. SANTA ANA CA CALIFORNIA 92701 Executive Officer Director HAZIM ANSARI 191 W. SECOND ST. SANTA ANA CA CALIFORNIA 92701 Executive Officer MICHAEL MADDEN 191 W. SECOND ST. SANTA ANA CA CALIFORNIA 92701 Executive Officer SEAN McWEENEY 191 W. SECOND ST. SANTA ANA CA CALIFORNIA 92701 Executive Officer VIRENDER SHARMA 191 W. SECOND ST. SANTA ANA CA CALIFORNIA 92701 Executive Officer Director MARK GILREATH 191 W. SECOND ST. SANTA ANA CA CALIFORNIA 92701 Director GREG BARRETT 191 W. SECOND ST. SANTA ANA CA CALIFORNIA 92701 Director Biotechnology No Revenues 06b false 2017-02-21 false true true Units are convertible into shares of common or preferred stock upon conversion to a corporation. false 25000 2500000 205000 2295000 false 2 0 0 600000 true false AQUA MEDICAL LLC /s/ Lloyd Mencinger Lloyd Mencinger Chief Executive Officer, President and Director 2017-03-08