0001804142-20-000001.txt : 20200220 0001804142-20-000001.hdr.sgml : 20200220 20200220151525 ACCESSION NUMBER: 0001804142-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200220 DATE AS OF CHANGE: 20200220 EFFECTIVENESS DATE: 20200220 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Avation Medical, Inc. CENTRAL INDEX KEY: 0001804142 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-361031 FILM NUMBER: 20634624 BUSINESS ADDRESS: STREET 1: 1375 PERRY STREET STE 13-1-190 CITY: COLUMBUS STATE: OH ZIP: 43201 BUSINESS PHONE: 513-884-9315 MAIL ADDRESS: STREET 1: 1375 PERRY STREET STE 13-1-190 CITY: COLUMBUS STATE: OH ZIP: 43201 D 1 primary_doc.xml X0708 D LIVE 0001804142 Avation Medical, Inc. 1375 PERRY STREET STE 13-1-190 COLUMBUS OH OHIO 43201 513-884-9315 DELAWARE Veressa Medical, Inc. None Corporation true 2016 Jill Schiaparelli c/o Avation Medical, Inc. 1375 Perry Street, Suite 13-1-190 Columbus OH OHIO 43201 Executive Officer Director Kevin Wasserstein c/o Avation Medical, Inc. 1375 Perry Street, Suite 13-1-190 Columbus OH OHIO 43201 Director Thomas Shehab, MD c/o Avation Medical, Inc. 1375 Perry Street, Suite 13-1-190 Columbus OH OHIO 43201 Director Other Health Care Decline to Disclose 06b false 2020-02-05 true true false 1 19512646 11337647 8174999 false 9 0 0 0 false Avation Medical, Inc. /s/ Jill Schiaparelli Jill Schiaparelli President & CEO 2020-02-19