0001683168-25-009394.txt : 20251229 0001683168-25-009394.hdr.sgml : 20251229 20251229170903 ACCESSION NUMBER: 0001683168-25-009394 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20251229 DATE AS OF CHANGE: 20251229 EFFECTIVENESS DATE: 20251229 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Tivic Health Systems, Inc. CENTRAL INDEX KEY: 0001787740 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] ORGANIZATION NAME: 08 Industrial Applications and Services EIN: 814016391 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-568269 FILM NUMBER: 251610042 BUSINESS ADDRESS: STREET 1: 47685 LAKEVIEW BLVD CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: (888)276-6888 MAIL ADDRESS: STREET 1: 47685 LAKEVIEW BLVD CITY: FREMONT STATE: CA ZIP: 94538 D 1 primary_doc.xml X0708 D LIVE 0001787740 Tivic Health Systems, Inc. 47685 LAKEVIEW BLVD FREMONT CA CALIFORNIA 94538 888-276-6888 DELAWARE None None Corporation true Jennifer Ernst 47685 Lakeview Blvd. Fremont CA CALIFORNIA 94538 Executive Officer Director Promoter Sheryle Bolton 47685 Lakeview Blvd. Fremont CA CALIFORNIA 94538 Director Christina Valauri 47685 Lakeview Blvd. Fremont CA CALIFORNIA 94538 Director Dean Zikria 47685 Lakeview Blvd. Fremont CA CALIFORNIA 94538 Director Lisa Wolf 47685 Lakeview Blvd. Fremont CA CALIFORNIA 94538 Executive Officer Michael Handley 47685 Lakeview Blvd. Fremont CA CALIFORNIA 94538 Executive Officer Biotechnology Decline to Disclose 06b false 2025-12-10 false true true true false 0 16253147 16253147 0 Securities include senior secured convertible notes and warrants. false 1 0 0 0 false Tivic Health Systems, Inc. /s/ Jennifer Ernst Jennifer Ernst Chief Executive Officer 2025-12-29