0001567619-20-011782.txt : 20200605 0001567619-20-011782.hdr.sgml : 20200605 20200605144152 ACCESSION NUMBER: 0001567619-20-011782 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200605 DATE AS OF CHANGE: 20200605 EFFECTIVENESS DATE: 20200605 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CereVasc, Inc. CENTRAL INDEX KEY: 0001814258 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-368402 FILM NUMBER: 20945835 BUSINESS ADDRESS: STREET 1: 2120 COMMONWEALTH AVE., SUITE 1 CITY: AUBURNDALE STATE: MA ZIP: 02466 BUSINESS PHONE: 617-584-1622 MAIL ADDRESS: STREET 1: 2120 COMMONWEALTH AVE., SUITE 1 CITY: AUBURNDALE STATE: MA ZIP: 02466 D 1 primary_doc.xml X0708 D LIVE 0001814258 CereVasc, Inc. 2120 COMMONWEALTH AVE., SUITE 1 AUBURNDALE MA MASSACHUSETTS 02466 617-584-1622 DELAWARE CereVasc, LLC None Corporation true 2020 Daniel Levangie 2120 Commonwealth Ave, Suite 1 Auburndale MA MASSACHUSETTS 02466 Executive Officer Director Aaron Levangie 2120 Commonwealth Ave, Suite 1 Auburndale MA MASSACHUSETTS 02466 Executive Officer Leslie Teso-Lichtman 2120 Commonwealth Ave, Suite 1 Auburndale MA MASSACHUSETTS 02466 Executive Officer Frederick Callori 2120 Commonwealth Ave, Suite 1 Auburndale MA MASSACHUSETTS 02466 Director Chris Garabedian 2120 Commonwealth Ave, Suite 1 Auburndale MA MASSACHUSETTS 02466 Director Patrick Sullivan 2120 Commonwealth Ave, Suite 1 Auburndale MA MASSACHUSETTS 02466 Director Carl Heilman 2120 Commonwealth Ave, Suite 1 Auburndale MA MASSACHUSETTS 02466 Director Biotechnology Decline to Disclose 06b false 2020-05-22 true true false 0 32452974 11052975 21399999 false 5 0 0 0 false CereVasc, Inc. /s/ Aaron Levangie Aaron Levangie Sr. Vice President, Secretary and General Counsel 2020-06-05