0001771439-21-000001.txt : 20211119 0001771439-21-000001.hdr.sgml : 20211119 20211119153816 ACCESSION NUMBER: 0001771439-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211119 DATE AS OF CHANGE: 20211119 EFFECTIVENESS DATE: 20211119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ViaLase, Inc. CENTRAL INDEX KEY: 0001771439 IRS NUMBER: 820672394 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-421870 FILM NUMBER: 211428183 BUSINESS ADDRESS: STREET 1: 955 GOLDENROD CITY: CORONA DEL MAR STATE: CA ZIP: 92625 BUSINESS PHONE: 949-538-6623 MAIL ADDRESS: STREET 1: 955 GOLDENROD CITY: CORONA DEL MAR STATE: CA ZIP: 92625 D 1 primary_doc.xml X0708 D LIVE 0001771439 ViaLase, Inc. 955 GOLDENROD CORONA DEL MAR CA CALIFORNIA 92625 949-538-6623 DELAWARE None None Corporation true 2019 Tibor Juhasz c/o ViaLase, Inc. 955 Goldenrod Corona Del Mar CA CALIFORNIA 92625 Executive Officer Director William Link c/o ViaLase, Inc. 955 Goldenrod Corona Del Mar CA CALIFORNIA 92625 Director Jim Adox c/o ViaLase, Inc. 955 Goldenrod Corona Del Mar CA CALIFORNIA 92625 Director Tim Petersen c/o ViaLase, Inc. 955 Goldenrod Corona Del Mar CA CALIFORNIA 92625 Director Other Health Care Decline to Disclose 06b false 2021-11-15 false true false 0 27287919 27287919 0 Total amount sold includes $20,999,995.16 new cash and $6,287,924.02 cancellation of indebtedness false 25 0 0 0 false ViaLase, Inc. /s/ Tibor Juhasz Tibor Juhasz CEO 2021-11-19