0001785899-19-000001.txt : 20190821 0001785899-19-000001.hdr.sgml : 20190821 20190821145034 ACCESSION NUMBER: 0001785899-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190821 DATE AS OF CHANGE: 20190821 EFFECTIVENESS DATE: 20190821 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DeVoro Medical Inc. CENTRAL INDEX KEY: 0001785899 IRS NUMBER: 830713888 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-347102 FILM NUMBER: 191042892 BUSINESS ADDRESS: STREET 1: 46714 FREMONT BLVD. CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: (925) 784-9985 MAIL ADDRESS: STREET 1: 46714 FREMONT BLVD. CITY: FREMONT STATE: CA ZIP: 94538 D 1 primary_doc.xml X0708 D LIVE 0001785899 DeVoro Medical Inc. 48389 FREMONT BLVD. SUITE 114 FREMONT CA CALIFORNIA 94538 (925) 784-9985 DELAWARE None None Corporation true 2017 Michael Wallace 48389 Fremont Boulevard Suite 114 Fremont CA CALIFORNIA 94538 Executive Officer Director Other Decline to Disclose 06b false 2019-08-08 false true false 0 8498427 8498427 0 false 16 0 0 0 false DeVoro Medical Inc. /s/ Michael Wallace Michael Wallace President and CEO 2019-08-21