0001794546-19-000001.txt : 20191119 0001794546-19-000001.hdr.sgml : 20191119 20191119130440 ACCESSION NUMBER: 0001794546-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191119 DATE AS OF CHANGE: 20191119 EFFECTIVENESS DATE: 20191119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARLSMED, INC. CENTRAL INDEX KEY: 0001794546 IRS NUMBER: 831081863 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-353718 FILM NUMBER: 191230239 BUSINESS ADDRESS: STREET 1: 4250 EXECUTIVE SQUARE STREET 2: SUITE 200 CITY: LA JOLLA STATE: CA ZIP: 92037 BUSINESS PHONE: 858-295-9290 MAIL ADDRESS: STREET 1: 4250 EXECUTIVE SQUARE STREET 2: SUITE 200 CITY: LA JOLLA STATE: CA ZIP: 92037 D 1 primary_doc.xml X0708 D LIVE 0001794546 CARLSMED, INC. 4250 EXECUTIVE SQUARE SUITE 200 LA JOLLA CA CALIFORNIA 92037 858-295-9290 DELAWARE None None Corporation true 2018 Niall Casey 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Director Michael Cordonnier 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Executive Officer Director Justin Esterberg 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Executive Officer Director Jeffrey Roh 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Director Biotechnology Decline to Disclose 06b false 2019-11-04 false true false 0 1500000 475000 1025000 false 12 0 0 0 false CARLSMED, INC. /s/ Michael Cordonnier Michael Cordonnier Chief Executive Officer 2019-11-19