0001795657-19-000001.txt : 20191203 0001795657-19-000001.hdr.sgml : 20191203 20191203132011 ACCESSION NUMBER: 0001795657-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20191203 DATE AS OF CHANGE: 20191203 EFFECTIVENESS DATE: 20191203 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bussert Medical, Inc. CENTRAL INDEX KEY: 0001795657 IRS NUMBER: 842520231 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-354621 FILM NUMBER: 191265143 BUSINESS ADDRESS: STREET 1: PO BOX 1842 CITY: NASHVILLE STATE: IN ZIP: 47448 BUSINESS PHONE: 812-369-6969 MAIL ADDRESS: STREET 1: PO BOX 1842 CITY: NASHVILLE STATE: IN ZIP: 47448 D 1 primary_doc.xml X0708 D LIVE 0001795657 Bussert Medical, Inc. 247 Coffey Hill Road NASHVILLE IN INDIANA 47448 812-369-6969 INDIANA None None Corporation true 2019 Jessica Bussert PO Box 1842 Nashville IN INDIANA 47448 Executive Officer Director Promoter Sharon Bussert PO Box 1842 Nashville IN INDIANA 47448 Director Ricardo Vasquez 7470 E Rush Ridge Road Bloomington IN INDIANA 47401 Executive Officer Director Biotechnology Decline to Disclose 06c false 2019-11-22 false true false 20000 520000 270000 250000 false 2 0 0 0 false Bussert Medical, Inc. Jessica Bussert Jessica Bussert President 2019-12-03