0001852724-23-000003.txt : 20230707 0001852724-23-000003.hdr.sgml : 20230707 20230707122751 ACCESSION NUMBER: 0001852724-23-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230707 DATE AS OF CHANGE: 20230707 EFFECTIVENESS DATE: 20230707 FILER: COMPANY DATA: COMPANY CONFORMED NAME: S4 Medical Corp. CENTRAL INDEX KEY: 0001852724 IRS NUMBER: 862227115 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-486174 FILM NUMBER: 231075978 BUSINESS ADDRESS: STREET 1: 34 SOUTH MAIN, SUITE 200 CITY: CHAGRIN FATS STATE: OH ZIP: 44022 BUSINESS PHONE: 440-279-8091 MAIL ADDRESS: STREET 1: 34 SOUTH MAIN, SUITE 200 CITY: CHAGRIN FATS STATE: OH ZIP: 44022 FORMER COMPANY: FORMER CONFORMED NAME: AF Innovations Holdings Corp. DATE OF NAME CHANGE: 20210322 D 1 primary_doc.xml X0708 D LIVE 0001852724 S4 Medical Corp. 34 SOUTH MAIN, SUITE 200 CHAGRIN FALLS OH OHIO 44022 440-279-8091 DELAWARE AF Innovations Holdings Corp. Corporation true 2021 William Fuller c/o S4 Medical Corp. 34 South Main, Suite 200 Chagrin Falls OH OHIO 44022 Executive Officer Director Emile Daoud c/o S4 Medical Corp. 34 South Main, Suite 200 Chagrin Falls OH OHIO 44022 Executive Officer Director Bill Baumel c/o S4 Medical Corp. 34 South Main, Suite 200 Chagrin Falls CA CALIFORNIA 44022 Director Anila Lingamneni c/o S4 Medical Corp. 34 South Main, Suite 200 Chagrin Falls OH OHIO 44022 Director Roy Tanaka c/o S4 Medical Corp. 34 South Main, Suite 200 Chagrin Falls OH OHIO 44022 Director Biotechnology Decline to Disclose 06b false 2023-06-23 false true true false 0 7762026 5762025 2000001 Total amount sold includes (i) New Cash $4,999,997.25; (ii) $762,028.20 of converted notes; and (iii) warrant to purchase 1 share of Class G common stock false 11 0 0 0 false S4 Medical Corp. /s/ William Fuller William Fuller Chief Executive Officer 2023-07-06