0001846813-22-000001.txt : 20220404 0001846813-22-000001.hdr.sgml : 20220404 20220404134142 ACCESSION NUMBER: 0001846813-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220404 DATE AS OF CHANGE: 20220404 EFFECTIVENESS DATE: 20220404 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Q'Apel Medical, Inc. CENTRAL INDEX KEY: 0001846813 IRS NUMBER: 845092943 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-440237 FILM NUMBER: 22801310 BUSINESS ADDRESS: STREET 1: 46708 LAKEVIEW BLVD CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 510-738-6255 MAIL ADDRESS: STREET 1: 46708 LAKEVIEW BLVD CITY: FREMONT STATE: CA ZIP: 94538 D 1 primary_doc.xml X0708 D LIVE 0001846813 Q'Apel Medical, Inc. 46708 LAKEVIEW BLVD FREMONT CA CALIFORNIA 94538 510-738-6255 DELAWARE Q'Apel Medical, LLC None Corporation true R. King Nelson c/o Q'Apel Medical, Inc. 46708 Lakeview Blvd Fremont CA CALIFORNIA 94538 Executive Officer Director Christopher Martin c/o Q'Apel Medical, Inc. 46708 Lakeview Blvd Fremont CA CALIFORNIA 94538 Director J. Avi Roop c/o Q'Apel Medical, Inc. 46708 Lakeview Blvd Fremont CA CALIFORNIA 94538 Director Carter McNabb c/o Q'Apel Medical, Inc. 46708 Lakeview Blvd Fremont CA CALIFORNIA 94538 Director Scot Huennekens c/o Q'Apel Medical, Inc. 46708 Lakeview Blvd Fremont CA CALIFORNIA 94538 Director Other Health Care Decline to Disclose 06b false 2022-03-31 false true false 0 33037697 29037697 4000000 $24,999,998.41 new money; $4,037,698.63 conversion of debt false 3 0 0 0 false Q'Apel Medical, Inc. /s/ R. King Nelson R. King Nelson Chief Executive Officer 2022-04-04