0001786360-19-000001.txt : 20190830 0001786360-19-000001.hdr.sgml : 20190830 20190830121152 ACCESSION NUMBER: 0001786360-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190830 DATE AS OF CHANGE: 20190830 EFFECTIVENESS DATE: 20190830 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 510 Kardiac Devices, Inc. CENTRAL INDEX KEY: 0001786360 IRS NUMBER: 473040026 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-347760 FILM NUMBER: 191068708 BUSINESS ADDRESS: STREET 1: 1401 OAKRIDGE VIEW DRIVE CITY: MABLETON STATE: GA ZIP: 30126 BUSINESS PHONE: 678-206-4255 MAIL ADDRESS: STREET 1: 1401 OAKRIDGE VIEW DRIVE CITY: MABLETON STATE: GA ZIP: 30126 D 1 primary_doc.xml X0708 D LIVE 0001786360 510 Kardiac Devices, Inc. 1401 OAKRIDGE VIEW DRIVE MABLETON GA GEORGIA 30126 678-206-4255 GEORGIA None None Corporation true 2015 Jaime Sarabia 1401 Oakridge View Drive Mableton GA GEORGIA 30126 Executive Officer Director Scott Lim 1401 Oakridge View Drive Mableton GA GEORGIA 30126 Director Chris Richardson 1401 Oakridge View Drive Mableton GA GEORGIA 30126 Director Chris Fair 1401 Oakridge View Drive Mableton GA GEORGIA 30126 Director Other Technology Decline to Disclose 06b false 2019-08-19 false true false 0 3498551 2988551 510000 false 24 0 0 0 false 510 Kardiac Devices, Inc. /s/ Jaime Sarabia Jaime Sarabia Chief Executive Officer 2019-08-30