0001778510-19-000001.txt : 20190603 0001778510-19-000001.hdr.sgml : 20190603 20190603151656 ACCESSION NUMBER: 0001778510-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190603 DATE AS OF CHANGE: 20190603 EFFECTIVENESS DATE: 20190603 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lumoptik, Inc. CENTRAL INDEX KEY: 0001778510 IRS NUMBER: 454130375 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-340989 FILM NUMBER: 19873131 BUSINESS ADDRESS: STREET 1: 1352 SUNRISE ROAD CITY: WASHINGTON ISLAND STATE: WI ZIP: 54246 BUSINESS PHONE: (815) 581-0064 MAIL ADDRESS: STREET 1: 1352 SUNRISE ROAD CITY: WASHINGTON ISLAND STATE: WI ZIP: 54246 D 1 primary_doc.xml X0708 D LIVE 0001778510 Lumoptik, Inc. 1352 SUNRISE ROAD WASHINGTON ISLAND WI WISCONSIN 54246 (815) 581-0064 DELAWARE None None Corporation true Frank Lyman 1352 Sunrise Road Washington Island WI WISCONSIN 54246 Executive Officer Director Mr. Lyman serves as President and Chief Executive Officer of the issuer and is a director of the issuer. Thomas Janicki 1352 Sunrise Road Washington Island WI WISCONSIN 54246 Director Mr. Janicki serves as Chairman of the Board of Directors of the issuer. Don Verlee 1352 Sunrise Road Washington Island WI WISCONSIN 54246 Executive Officer Mr. Verlee serves as Chief Scientific Officer of the issuer. Andy Alexander 1352 Sunrise Road Washington Island WI WISCONSIN 54246 Executive Officer Mr. Alexander serves as Chief Clinical Officer of the issuer. Arthur Janicki 1352 Sunrise Road Washington Island WI WISCONSIN 54246 Director Mr. Janicki serves as a director of the issuer. Jeff Enslin 1352 Sunrise Road Washington Island WI WISCONSIN 54246 Director Mr. Enslin serves as a director of the issuer. Other Health Care Decline to Disclose 06b false 2019-05-21 false true true Simple Agreement for Future Equity false 25000 Alere Financial Partners None Cova Capital Partners 109761 6851 Jericho Turnpike, Suite 120A Syosset NY NEW YORK 11791 CA CALIFORNIA NJ NEW JERSEY NY NEW YORK PA PENNSYLVANIA false 1500000 100000 1400000 false 2 105000 true 0 0 The issuer does not intend to use any offering proceeds for commissions or similar payments to directors and officers although a portion of the proceeds may be used to pay regular officer and directors salaries in the ordinary course of business. false Lumoptik, Inc. /frank lyman/ Frank Lyman President and Chief Executive Officer 2019-06-03