0001767685-19-000001.txt : 20190213 0001767685-19-000001.hdr.sgml : 20190213 20190213124214 ACCESSION NUMBER: 0001767685-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190213 DATE AS OF CHANGE: 20190213 EFFECTIVENESS DATE: 20190213 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aqua Medical, Inc. CENTRAL INDEX KEY: 0001767685 IRS NUMBER: 824065693 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-332760 FILM NUMBER: 19595523 BUSINESS ADDRESS: STREET 1: 191 W. 2ND STREET CITY: SANTA ANA STATE: CA ZIP: 92701 BUSINESS PHONE: 949-329-5306 MAIL ADDRESS: STREET 1: 191 W. 2ND STREET CITY: SANTA ANA STATE: CA ZIP: 92701 D 1 primary_doc.xml X0708 D LIVE 0001767685 Aqua Medical, Inc. 191 W. 2ND STREET SANTA ANA CA CALIFORNIA 92701 949-329-5306 DELAWARE Aqua Medical LLC None Corporation true 2016 Lloyd Mencinger c/o Aqua Medical, Inc. 191 W. 2nd Street Santa Ana CA CALIFORNIA 92701 Executive Officer Director Virender K. Sharma c/o Aqua Medical, Inc. 191 W. 2nd Street Santa Ana CA CALIFORNIA 92701 Director Mark Gilreath c/o Aqua Medical, Inc. 191 W. 2nd Street Santa Ana CA CALIFORNIA 92701 Director Greg Barrett c/o Aqua Medical, Inc. 191 W. 2nd Street Santa Ana CA CALIFORNIA 92701 Director Other Decline to Disclose 06b false 2019-01-29 false true false 0 3700000 3102709 597291 false 16 0 0 0 false Aqua Medical, Inc. /s/Lloyd Mencinger Lloyd Mencinger President and CEO 2019-02-12