0001716636-22-000003.txt : 20221109 0001716636-22-000003.hdr.sgml : 20221109 20221109170205 ACCESSION NUMBER: 0001716636-22-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221109 DATE AS OF CHANGE: 20221109 EFFECTIVENESS DATE: 20221109 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Alpheus Medical, Inc. CENTRAL INDEX KEY: 0001716636 IRS NUMBER: 813449512 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-464407 FILM NUMBER: 221373558 BUSINESS ADDRESS: STREET 1: 1266 PARK ROAD CITY: CHANHASSEN STATE: MN ZIP: 55317 BUSINESS PHONE: 310-413-4338 MAIL ADDRESS: STREET 1: 1266 PARK ROAD CITY: CHANHASSEN STATE: MN ZIP: 55317 FORMER COMPANY: FORMER CONFORMED NAME: CranioVation, Inc. DATE OF NAME CHANGE: 20170911 D 1 primary_doc.xml X0708 D LIVE 0001716636 Alpheus Medical, Inc. 1266 PARK ROAD CHANHASSEN MN MINNESOTA 55317 310-413-4338 DELAWARE CranioVation, Inc. Corporation true Vijay Agarwal c/o Alpheus Medical, Inc. 1266 Park Road Chanhassen MN MINNESOTA 55317 Executive Officer Director Imran Eba c/o Alpheus Medical, Inc. 1266 Park Road Chanhassen MN MINNESOTA 55317 Director Klaus Veitinger c/o Alpheus Medical, Inc. 1266 Park Road Chanhassen MN MINNESOTA 55317 Director Aaron Sandoski c/o Alpheus Medical, Inc. 1266 Park Road Chanhassen MN MINNESOTA 55317 Director Peter Thompson c/o Alpheus Medical, Inc. 1266 Park Road Chanhassen MN MINNESOTA 55317 Director Terrance Kurtenbach c/o Alpheus Medical, Inc. 1266 Park Road Chanhassen MN MINNESOTA 55317 Executive Officer Other Decline to Disclose 06b false 2022-10-25 false true false 0 13999995 13999995 0 false 4 0 0 0 false Alpheus Medical, Inc. /s/ Vijay Agarwal Vijay Agarwal Chief Executive Officer 2022-11-09