0001760157-21-000002.txt : 20210929 0001760157-21-000002.hdr.sgml : 20210929 20210929085437 ACCESSION NUMBER: 0001760157-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210929 DATE AS OF CHANGE: 20210929 EFFECTIVENESS DATE: 20210929 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Francis Medical, Inc. CENTRAL INDEX KEY: 0001760157 IRS NUMBER: 825199867 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-414968 FILM NUMBER: 211289539 BUSINESS ADDRESS: STREET 1: 7351 KIRKWOOD LANE N STREET 2: SUITE 138 CITY: MAPLE GROVE STATE: MN ZIP: 55369 BUSINESS PHONE: 763-412-1960 MAIL ADDRESS: STREET 1: 7351 KIRKWOOD LANE N STREET 2: SUITE 138 CITY: MAPLE GROVE STATE: MN ZIP: 55369 FORMER COMPANY: FORMER CONFORMED NAME: NxPHASE Medical, Inc. DATE OF NAME CHANGE: 20181127 D 1 primary_doc.xml X0708 D LIVE 0001760157 Francis Medical, Inc. 7351 KIRKWOOD LANE N SUITE 130 MAPLE GROVE MN MINNESOTA 55369 763-951-0370 DELAWARE NxPHASE Medical, Inc. Corporation true 2018 Michael Kujak 7351 KIRKWOOD LANE N Suite 130 Maple Grove MN MINNESOTA 55369 Executive Officer Director Jan Garfinkle 7351 KIRKWOOD LANE N Suite 130 Maple Grove MN MINNESOTA 55369 Director David Adair 7351 KIRKWOOD LANE N Suite 130 Maple Grove MN MINNESOTA 55369 Director Andre de Bruin 7351 KIRKWOOD LANE N Suite 130 Maple Grove MN MINNESOTA 55369 Director Michael Hoey 7351 KIRKWOOD LANE N Suite 130 Maple Grove MN MINNESOTA 55369 Director Other Health Care Decline to Disclose 06b false 2021-09-14 true true false 79385 55000000 20000000 35000000 false 18 0 0 0 false Francis Medical, Inc. /s/ Michael Kujak Michael Kujak President and Chief Executive Officer 2021-09-29