0001823965-20-000001.txt : 20200915 0001823965-20-000001.hdr.sgml : 20200915 20200915104940 ACCESSION NUMBER: 0001823965-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200915 DATE AS OF CHANGE: 20200915 EFFECTIVENESS DATE: 20200915 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Emboline Inc CENTRAL INDEX KEY: 0001823965 IRS NUMBER: 453603000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-375509 FILM NUMBER: 201175167 BUSINESS ADDRESS: STREET 1: 849C ALMAR AVE., #278 CITY: SANTA CRUZ STATE: CA ZIP: 95060 BUSINESS PHONE: 408-416-2450 X102 MAIL ADDRESS: STREET 1: 849C ALMAR AVE., #278 CITY: SANTA CRUZ STATE: CA ZIP: 95060 D 1 primary_doc.xml X0708 D LIVE 0001823965 Emboline Inc 849C ALMAR AVE., #278 SANTA CRUZ CA CALIFORNIA 95060 408-416-2450 X102 DELAWARE None None Corporation true Scott Russell 849C Almar Ave., #278 Santa Cruz CA CALIFORNIA 95060 Executive Officer Director Peng Cheng 849C Almar Ave., #278 Santa Cruz CA CALIFORNIA 95060 Director William Dai 849C Almar Ave., #278 Santa Cruz CA CALIFORNIA 95060 Director Amir Belson 849C Almar Ave., #278 Santa Cruz CA CALIFORNIA 95060 Executive Officer Director Issam D. Moussa 849C Almar Ave., #278 Santa Cruz CA CALIFORNIA 95060 Director J. Casey McGlynn WSGR 650 Page Mill Road Palo Alto CA CALIFORNIA 94304 Executive Officer Elton Satusky c/o WSGR 650 Page Mill Road Palo Alto CA CALIFORNIA 94304 Executive Officer Other Decline to Disclose 06b false 2020-08-31 false true true false 0 15001000 9524601 5476399 Warrants to purchase $1,905,079.00 amount of stock were issued as a part of the offering. false 68 0 0 0 false Emboline Inc /s/Scott Russell Scott Russell President & CEO 2020-09-15