0001751959-18-000002.txt : 20181206 0001751959-18-000002.hdr.sgml : 20181206 20181206125940 ACCESSION NUMBER: 0001751959-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181206 DATE AS OF CHANGE: 20181206 EFFECTIVENESS DATE: 20181206 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RIST Neurovascular, Inc. CENTRAL INDEX KEY: 0001751959 IRS NUMBER: 824924660 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-327292 FILM NUMBER: 181219910 BUSINESS ADDRESS: STREET 1: 1350 STILLWATER DRIVE CITY: MIAMI BEACH STATE: FL ZIP: 33141 BUSINESS PHONE: 1-954-742-5988 MAIL ADDRESS: STREET 1: 1350 STILLWATER DRIVE CITY: MIAMI BEACH STATE: FL ZIP: 33141 D 1 primary_doc.xml X0708 D LIVE 0001751959 RIST Neurovascular, Inc. 1350 STILLWATER DRIVE MIAMI BEACH FL FLORIDA 33141 1-954-742-5988 DELAWARE None None Corporation true 2018 ERIC PETERSON, MD c/o RIST NEUROVASCULAR, INC. 1350 STILLWATER DRIVE MIAMI BEACH FL FLORIDA 33141 Executive Officer Director Promoter BRIAN SNELLING, MD c/o RIST NEUROVASCULAR, INC. 1350 STILLWATER DRIVE MIAMI BEACH FL FLORIDA 33141 Executive Officer Director Promoter MARC LITZENBERG c/o RIST NEUROVASCULAR, INC. 1350 STILLWATER DRIVE MIAMI BEACH FL FLORIDA 33141 Director MARTIN DIECK c/o RIST NEUROVASCULAR, INC. 1350 STILLWATER DRIVE MIAMI BEACH FL FLORIDA 33141 Director Other Decline to Disclose 06b false 2018-11-29 false true true false 0 270000 270000 0 This is a warrant to purchase securities. false 1 0 0 0 false RIST Neurovascular, Inc. /s/ Eric Peterson Eric Peterson Chief Executive Officer 2018-12-06