0001837188-24-000002.txt : 20240830 0001837188-24-000002.hdr.sgml : 20240830 20240830162130 ACCESSION NUMBER: 0001837188-24-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240830 DATE AS OF CHANGE: 20240830 EFFECTIVENESS DATE: 20240830 FILER: COMPANY DATA: COMPANY CONFORMED NAME: XII Medical, Inc. CENTRAL INDEX KEY: 0001837188 ORGANIZATION NAME: IRS NUMBER: 821613340 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-522938 FILM NUMBER: 241270386 BUSINESS ADDRESS: STREET 1: 32980 ALVARADO NILES ROAD, SUITE 856 CITY: UNION CITY STATE: CA ZIP: 94587-3186 BUSINESS PHONE: 216-444-5802 MAIL ADDRESS: STREET 1: 32980 ALVARADO NILES ROAD, SUITE 856 CITY: UNION CITY STATE: CA ZIP: 94587-3186 FORMER COMPANY: FORMER CONFORMED NAME: Enhale Medical Inc. DATE OF NAME CHANGE: 20201218 D 1 primary_doc.xml X0708 D LIVE 0001837188 XII Medical, Inc. 32980 ALVARADO NILES ROAD, SUITE 856 UNION CITY CA CALIFORNIA 94587-3186 216-444-5802 DELAWARE Enhale Medical Inc. Corporation true Garrett Schwab 32980 Alvarado Niles Road, Suite 856 Union City CA CALIFORNIA 94587-3186 Executive Officer Director Chief Executive Officer Daniel Gottlieb 32980 Alvarado Niles Road, Suite 856 Union City CA CALIFORNIA 94587-3186 Director Tony Natale 32980 Alvarado Niles Road, Suite 856 Union City CA CALIFORNIA 94587-3186 Director Raman Gowri 32980 Alvarado Niles Road, Suite 856 Union City CA CALIFORNIA 94587-3186 Director Duke Rohlen 32980 Alvarado Niles Road, Suite 856 Union City CA CALIFORNIA 94587-3186 Director JD Friedland 32980 Alvarado Niles Road, Suite 856 Union City CA CALIFORNIA 94587-3186 Director Shane Kreidel 32980 Alvarado Niles Road, Suite 856 Union City CA CALIFORNIA 94587-3186 Executive Officer Secretary and Chief Financial Officer Saoussen Ben Halima 32980 Alvarado Niles Road, Suite 856 Union City CA CALIFORNIA 94587-3186 Director Other Health Care Decline to Disclose 06b false 2024-08-20 false true false 0 45000001 22500001 22500000 false 11 0 0 0 false XII Medical, Inc. /s/ Garrett Schwab Garrett Schwab Chief Executive Officer 2024-08-30