0001794546-20-000002.txt : 20201217 0001794546-20-000002.hdr.sgml : 20201217 20201217132645 ACCESSION NUMBER: 0001794546-20-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201217 DATE AS OF CHANGE: 20201217 EFFECTIVENESS DATE: 20201217 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: 021-383541 FILM NUMBER: 201395328 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 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 Alexander Arrow 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Executive Officer Sharon Schulzki 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Executive Officer Niall Casey 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Executive Officer Director Jonathon Root 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Director Philip Young 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Director Kevin Sidow 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Director Shariq Hussain 4250 Executive Square Suite 200 La Jolla CA CALIFORNIA 92037 Executive Officer Biotechnology Decline to Disclose 06b false 2020-12-15 false true true false 0 12643855 12634480 9375 false 50 0 0 0 false CARLSMED, INC. /s/ Michael Cordonnier Michael Cordonnier Chief Executive Officer 2020-12-16