0001763175-20-000001.txt : 20201230 0001763175-20-000001.hdr.sgml : 20201230 20201229184345 ACCESSION NUMBER: 0001763175-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201230 DATE AS OF CHANGE: 20201229 EFFECTIVENESS DATE: 20201230 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bolder Surgical Holdings, Inc. CENTRAL INDEX KEY: 0001763175 IRS NUMBER: 832775628 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-384694 FILM NUMBER: 201423648 BUSINESS ADDRESS: STREET 1: 331 S. 104TH STREET CITY: LOUISVILLE STATE: CO ZIP: 80027 BUSINESS PHONE: (866) 683-1743 MAIL ADDRESS: STREET 1: 331 S. 104TH STREET CITY: LOUISVILLE STATE: CO ZIP: 80027 D 1 primary_doc.xml X0708 D LIVE 0001763175 Bolder Surgical Holdings, Inc. 331 S. 104TH STREET Suite 200 LOUISVILLE CO COLORADO 80027 (866) 683-1743 DELAWARE None None Corporation true 2018 John G. Adair c/o Bolder Surgical Holdings, Inc. 331 S. 104th Street, Suite 200 Louisville CO COLORADO 80027 Executive Officer Carter McNabb c/o Bolder Surgical Holdings, Inc. 331 S. 104th Street, Suite 200 Louisville CO COLORADO 80027 Director Lair Kennedy c/o Bolder Surgical Holdings, Inc. 331 S. 104th Street, Suite 200 Louisville CO COLORADO 80027 Director Dan Mitchell c/o Bolder Surgical Holdings, Inc. 331 S. 104th Street, Suite 200 Louisville CO COLORADO 80027 Director Rick Packer c/o Bolder Surgical Holdings, Inc. 331 S. 104th Street, Suite 200 Louisville CO COLORADO 80027 Director Robert Kline c/o Boulder Surgical Holdings, Inc. 331 S. 104th Street, Suite 200 Louisville CO COLORADO 80027 Executive Officer Director Other Technology Decline to Disclose 06b false 2020-12-18 false true true false 0 174996 174996 0 The Total Offering Amount and Total Amount Sold represent the aggregate exercise price of a warrant to purchase shares of capital stock of the Issuer. false 1 0 0 0 false Bolder Surgical Holdings, Inc. John G. Adair John G. Adair Chief Financial Officer 2020-12-29