0001708893-22-000001.txt : 20220106 0001708893-22-000001.hdr.sgml : 20220106 20220106093114 ACCESSION NUMBER: 0001708893-22-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220106 DATE AS OF CHANGE: 20220106 EFFECTIVENESS DATE: 20220106 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lungpacer Medical, Inc. CENTRAL INDEX KEY: 0001708893 IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-385380 FILM NUMBER: 22513797 BUSINESS ADDRESS: STREET 1: 260 SIERRA DRIVE, SUITE 116 CITY: EXTON STATE: PA ZIP: 19341 BUSINESS PHONE: 778-655-2100 MAIL ADDRESS: STREET 1: 260 SIERRA DRIVE, SUITE 116 CITY: EXTON STATE: PA ZIP: 19341 D/A 1 primary_doc.xml X0708 D/A LIVE 0001708893 Lungpacer Medical, Inc. 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 778-655-2100 BRITISH COLUMBIA, CANADA None None Corporation true Douglas G. Evans 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Executive Officer Director Chief Executive Officer and President Joseph W. Kaufmann 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Director Josh Makower 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Director Jose Calle Gordo 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Director Bob Donohue 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Director Rosemarie Dhavale 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Executive Officer Vice President, Finance Jonathan Conlin 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Executive Officer Corporate Secretary Nawzer Mehta 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Executive Officer Senior Vice President, Clinical Affairs Christopher Kiple 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Director Chair of the Board Valeska Schroeder 260 SIERRA DRIVE, SUITE 116 EXTON PA PENNSYLVANIA 19341 Director Other Health Care Decline to Disclose 06b true 0001708893-21-000002 2020-12-22 true true true Class B Preferred Stock Financing false 0 21099936 15999984 5099952 false 3 0 0 0 true Proceeds to be used for working capital and general corporate purposes. false Lungpacer Medical, Inc. /s/ Douglas G. Evans Douglas G. Evans CEO 2022-01-05