0001735829-21-000001.txt : 20211123 0001735829-21-000001.hdr.sgml : 20211123 20211122193915 ACCESSION NUMBER: 0001735829-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211123 DATE AS OF CHANGE: 20211122 EFFECTIVENESS DATE: 20211123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Atia Vision, Inc. CENTRAL INDEX KEY: 0001735829 IRS NUMBER: 455483066 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-422166 FILM NUMBER: 211434247 BUSINESS ADDRESS: STREET 1: 550 DIVISION STREET CITY: CAMPBELL STATE: CA ZIP: 95008 BUSINESS PHONE: 4085602500 MAIL ADDRESS: STREET 1: 550 DIVISION STREET CITY: CAMPBELL STATE: CA ZIP: 95008 D 1 primary_doc.xml X0708 D LIVE 0001735829 Atia Vision, Inc. 550 DIVISION STREET CAMPBELL CA CALIFORNIA 95008 408-560-2500 DELAWARE Atia Medical, Inc. None Corporation true Mariam Maghribi 550 Division Street Campbell CA CALIFORNIA 95008 Executive Officer Director Amr Salahieh 550 Division Street Campbell CA CALIFORNIA 95008 Director Bihua Chen 550 Division Street Campbell CA CALIFORNIA 95008 Director Casey Gordon 550 Division Street Campell CA CALIFORNIA 95008 Director Claudio Argento 550 Division Street Campbell CA CALIFORNIA 95008 Director Biotechnology Decline to Disclose 06b false 2021-11-12 false true true false 31000 6500000 5435000 1065000 false 12 0 0 0 false Atia Vision, Inc. /s/Mariam Maghribi Mariam Maghribi Chief Executive Officer 2021-11-22