0001734892-22-000003.txt : 20220629 0001734892-22-000003.hdr.sgml : 20220629 20220629151634 ACCESSION NUMBER: 0001734892-22-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220629 DATE AS OF CHANGE: 20220629 EFFECTIVENESS DATE: 20220629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Atrility Medical, Inc. CENTRAL INDEX KEY: 0001734892 IRS NUMBER: 815338004 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-450687 FILM NUMBER: 221054343 BUSINESS ADDRESS: STREET 1: 455 SCIENCE DRIVE STREET 2: STE 120 CITY: MADISON STATE: WI ZIP: 53711 BUSINESS PHONE: 608-960-9960 MAIL ADDRESS: STREET 1: 455 SCIENCE DRIVE STREET 2: STE 120 CITY: MADISON STATE: WI ZIP: 53711 FORMER COMPANY: FORMER CONFORMED NAME: Atrility Medical LLC DATE OF NAME CHANGE: 20180316 D 1 primary_doc.xml X0708 D LIVE 0001734892 Atrility Medical, Inc. 455 SCIENCE DRIVE STE 120 MADISON WI WISCONSIN 53711 608-960-9960 DELAWARE Atrility Medical LLC Corporation true 2017 David B. Kaysen 455 Science Drive Ste 120 Madison WI WISCONSIN 53711 Executive Officer Director Promoter Nicholas Von Bergen 455 Science Drive Ste 120 Madison WI WISCONSIN 53711 Director Promoter Peter Lukszys 455 Science Drive Ste 120 Madison WI WISCONSIN 53711 Executive Officer Promoter Michael J. Partsch 614 Walnut St 13th Floor Madison WI WISCONSIN 53726 Director Chris R. Eckstrom 812 E. Washington Avenue Suite 200-F Madison WI WISCONSIN 53703 Director Other Health Care Decline to Disclose 06b false 2022-06-15 false true false 20000 3837995 3385995 452000 $1,337,995 of the amount sold is pursuant to conversion of issued and outstanding convertible notes in the Company. false 15 0 0 0 false Atrility Medical, Inc. David B. Kaysen David B. Kaysen President/CEO 2022-06-29