0001725402-20-000001.txt : 20200311 0001725402-20-000001.hdr.sgml : 20200311 20200311113006 ACCESSION NUMBER: 0001725402-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200311 DATE AS OF CHANGE: 20200311 EFFECTIVENESS DATE: 20200311 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Supira Medical, Inc. CENTRAL INDEX KEY: 0001725402 IRS NUMBER: 455466626 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-362501 FILM NUMBER: 20704400 BUSINESS ADDRESS: STREET 1: 590 DIVISION STREET CITY: CAMPBELL STATE: CA ZIP: 95008 BUSINESS PHONE: (510) 705-2569 MAIL ADDRESS: STREET 1: 590 DIVISION STREET CITY: CAMPBELL STATE: CA ZIP: 95008 D 1 primary_doc.xml X0708 D LIVE 0001725402 Supira Medical, Inc. 590 DIVISION STREET CAMPBELL CA CALIFORNIA 95008 (510) 705-2569 DELAWARE Lumenblation Medical, Inc. None Corporation true Nitin Salunke 590 Division Street Campbell CA CALIFORNIA 95008 Executive Officer Director Bihua Chen 590 Division Street Campbell CA CALIFORNIA 95008 Director Amr Salahieh 590 Division Street Campbell CA CALIFORNIA 95008 Director Casey Gordon 590 Division Street Campbell CA CALIFORNIA 95008 Director Other Decline to Disclose 06b false 2020-02-25 false true false 0 35099991 35099991 0 false 31 0 0 0 false Supira Medical, Inc. /s/ Nitin Salunke Nitin Salunke President and CEO 2020-03-10