0001710426-18-000003.txt : 20180403 0001710426-18-000003.hdr.sgml : 20180403 20180403161054 ACCESSION NUMBER: 0001710426-18-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180403 DATE AS OF CHANGE: 20180403 EFFECTIVENESS DATE: 20180403 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ACTIV Surgical, Inc. CENTRAL INDEX KEY: 0001710426 IRS NUMBER: 472924761 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-309234 FILM NUMBER: 18733450 BUSINESS ADDRESS: STREET 1: 840 SUMMER STREET, SUITE 108 CITY: BOSTON STATE: MA ZIP: 02127 BUSINESS PHONE: (646) 312-9611 MAIL ADDRESS: STREET 1: 840 SUMMER STREET, SUITE 108 CITY: BOSTON STATE: MA ZIP: 02127 FORMER COMPANY: FORMER CONFORMED NAME: Omniboros Inc. DATE OF NAME CHANGE: 20170627 D 1 primary_doc.xml X0708 D LIVE 0001710426 ACTIV Surgical, Inc. 840 SUMMER STREET, SUITE 108 BOSTON MA MASSACHUSETTS 02127 (646) 312-9611 DELAWARE Omniboros Inc. Corporation true 2014 David H. Wells 411 Walnut Street, #13114 Green Cover Springs FL FLORIDA 32043 Executive Officer Director Seth Teicher 840 Summer Street, Suite 108 Boston MA MASSACHUSETTS 02127 Director Peter Kim 840 Summer Street, Suite 108 Boston MA MASSACHUSETTS 02127 Director Other Health Care Decline to Disclose 06b false 2018-03-19 false true true false 0 4500000 2000000 2500000 false 4 0 0 0 false ACTIV Surgical, Inc. David H. Wells David H. Wells Chief Executive Officer 2018-04-03