0001861107-21-000001.txt : 20210507 0001861107-21-000001.hdr.sgml : 20210507 20210507163559 ACCESSION NUMBER: 0001861107-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210507 DATE AS OF CHANGE: 20210507 EFFECTIVENESS DATE: 20210507 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ceribell, Inc. CENTRAL INDEX KEY: 0001861107 IRS NUMBER: 471785452 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-398656 FILM NUMBER: 21903418 BUSINESS ADDRESS: STREET 1: 2483 OLD MIDDLEFIELD WAY STREET 2: SUITE 120 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: (800) 436-0826 MAIL ADDRESS: STREET 1: 2483 OLD MIDDLEFIELD WAY STREET 2: SUITE 120 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 D 1 primary_doc.xml X0708 D LIVE 0001861107 Ceribell, Inc. 2483 OLD MIDDLEFIELD WAY SUITE 120 MOUNTAIN VIEW CA CALIFORNIA 94043 (800) 436-0826 DELAWARE Brain Stethoscope, Inc. None Corporation true Xingjuan Chao c/o Ceribell, Inc. 2483 Old Middlefield Way, Suite 120 Mountain View CA CALIFORNIA 94043 Executive Officer Director Scott Blumberg c/o Ceribell, Inc. 2483 Old Middlefield Way, Suite 120 Mountain View CA CALIFORNIA 94043 Executive Officer Lucian Iancovici c/o Ceribell, Inc. 2483 Old Middlefield Way, Suite 120 Mountain View CA CALIFORNIA 94043 Director Josef Parvizi c/o Ceribell, Inc. 2483 Old Middlefield Way, Suite 120 Mountain View CA CALIFORNIA 94043 Director Rebecca Robertson c/o Ceribell, Inc. 2483 Old Middlefield Way, Suite 120 Mountain View CA CALIFORNIA 94043 Director Juliet Tammenoms Bakker c/o Ceribell, Inc. 2483 Old Middlefield Way, Suite 120 Mountain View CA CALIFORNIA 94043 Director Joseph M. Taylor c/o Ceribell, Inc. 2483 Old Middlefield Way, Suite 120 Mountain View CA CALIFORNIA 94043 Director Other Health Care Decline to Disclose 06b false 2021-04-22 false true false 0 52517785 52517785 0 false 14 0 0 0 false Ceribell, Inc. /s/Scott Blumberg Scott Blumberg Chief Financial Officer 2021-05-07