0001807112-20-000001.txt : 20200323
0001807112-20-000001.hdr.sgml : 20200323
20200323142628
ACCESSION NUMBER: 0001807112-20-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20200323
DATE AS OF CHANGE: 20200323
EFFECTIVENESS DATE: 20200323
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ureteral Stent Co
CENTRAL INDEX KEY: 0001807112
IRS NUMBER: 844984650
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-363464
FILM NUMBER: 20734586
BUSINESS ADDRESS:
STREET 1: 2191 MURRAY HILL ROAD
CITY: CLEVELAND
STATE: OH
ZIP: 44106
BUSINESS PHONE: 216-258-8047
MAIL ADDRESS:
STREET 1: 2191 MURRAY HILL ROAD
CITY: CLEVELAND
STATE: OH
ZIP: 44106
D
1
primary_doc.xml
X0708
D
LIVE
0001807112
Ureteral Stent Co
2191 MURRAY HILL ROAD
CLEVELAND
OH
OHIO
44106
216-258-8047
DELAWARE
None
None
Corporation
true
2020
Michael
Bunker
2191 Murray Hill Road
Cleveland
OH
OHIO
44106
Executive Officer
Director
Director, President, and CEO of Issuer
Lee
Ponsky
25700 Science Park Drive
Beachwood
OH
OHIO
44122
Executive Officer
Director
Director and Secretary of Issuer
Rafid
Fadul
22200 Superior Viadut
Cleveland
OH
OHIO
44113
Director
Director of Issuer
Michael
Attias
2191 Murray Hill Road
Cleveland
OH
OHIO
44106
Executive Officer
Treasurer of Issuer
Other Health Care
Decline to Disclose
- 06b
false
2020-03-03
false
true
true
Conversion of convertible promissory notes in exchange for Series A Preferred Stock
false
21465
2000000
1239310
760690
Includes the aggregate value of Series A Preferred stock issued upon conversion of outstanding convertible promissory notes issued to-date, including accrued interest, and shares of Series A Preferred Stock purchased for cash
false
13
0
0
0
false
Ureteral Stent Co
Sarah D'Amore
Sarah D'Amore
Attorney-in-Fact
2020-03-23