0001743315-18-000001.txt : 20180611 0001743315-18-000001.hdr.sgml : 20180611 20180611125742 ACCESSION NUMBER: 0001743315-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180611 DATE AS OF CHANGE: 20180611 EFFECTIVENESS DATE: 20180611 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Augustine Surgical, Inc. CENTRAL INDEX KEY: 0001743315 IRS NUMBER: 830706195 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-314306 FILM NUMBER: 18891557 BUSINESS ADDRESS: STREET 1: 6581 CITY WEST PARKWAY CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 9524653500 MAIL ADDRESS: STREET 1: 6581 CITY WEST PARKWAY CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 D 1 primary_doc.xml X0708 D LIVE 0001743315 Augustine Surgical, Inc. 6581 CITY WEST PARKWAY EDEN PRAIRIE MN MINNESOTA 55344 9524653500 DELAWARE None None Corporation true 2018 Scott D Augustine 6581 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Brent M Augustine 6581 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Garrett J Augustine 6581 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer J. Randall Benham 6581 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Other Health Care Decline to Disclose 06b false 2018-05-29 true true false 0 not applicable None None None not applicable not applicable not applicable XX Unknown na All States false 9142000 480000 8662000 false 1 0 true 0 true 100000 true false Augustine Surgical, Inc. Scott Augustine Scott Augustine Chief Executive Officier 2018-06-11