0001493152-21-015866.txt : 20210701 0001493152-21-015866.hdr.sgml : 20210701 20210701171542 ACCESSION NUMBER: 0001493152-21-015866 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210701 DATE AS OF CHANGE: 20210701 EFFECTIVENESS DATE: 20210701 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RetinalGenix Technologies Inc. CENTRAL INDEX KEY: 0001836295 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 823936890 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-405013 FILM NUMBER: 211066964 BUSINESS ADDRESS: STREET 1: 1450 NORTH MCDOWELL BOULEVARD STREET 2: SUITE 150 CITY: PETALUMA STATE: CA ZIP: 94954 BUSINESS PHONE: 415-578-9583 MAIL ADDRESS: STREET 1: 1450 NORTH MCDOWELL BOULEVARD STREET 2: SUITE 150 CITY: PETALUMA STATE: CA ZIP: 94954 D 1 primary_doc.xml X0708 D LIVE 0001836295 RetinalGenix Technologies Inc. 1450 NORTH MCDOWELL BOULEVARD SUITE 150 PETALUMA CA CALIFORNIA 94954 (415) 578-9583 DELAWARE None None Corporation true 2017 JERRY KATZMAN 1450 NORTH MCDOWELL BOULEVARD SUITE 150 PETALUMA CA CALIFORNIA 94954 Executive Officer Director Chief Executive Officer and President HERBERT GOULD 1450 NORTH MCDOWELL BOULEVARD SUITE 150 PETALUMA CA CALIFORNIA 94954 Director Other Health Care Decline to Disclose 06b false 2021-06-04 false true false 0 None None None None NONE NONE XX Unknown 0000 All States false 7000000 45000 6955000 false 3 0 0 0 true false RetinalGenix Technologies Inc. /s/ Jerry Katzman Jerry Katzman Chief Executive Officer 2021-07-01