0001878844-21-000002.txt : 20210818 0001878844-21-000002.hdr.sgml : 20210818 20210818130531 ACCESSION NUMBER: 0001878844-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210818 DATE AS OF CHANGE: 20210818 EFFECTIVENESS DATE: 20210818 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aqua Heart Inc CENTRAL INDEX KEY: 0001878844 IRS NUMBER: 824545916 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-410438 FILM NUMBER: 211186255 BUSINESS ADDRESS: STREET 1: 191 W SECOND STREET CITY: SANTA ANA STATE: CA ZIP: 92701 BUSINESS PHONE: 949-233-5172 MAIL ADDRESS: STREET 1: 191 W SECOND STREET CITY: SANTA ANA STATE: CA ZIP: 92701 D 1 primary_doc.xml X0708 D LIVE 0001878844 Aqua Heart Inc 191 W SECOND STREET SANTA ANA CA CALIFORNIA 92701 949-233-5172 DELAWARE None None Corporation true 2018 Holger Friedrich 191 W. Second Street Santa Ana CA CALIFORNIA 92701 Executive Officer Director Virender Sharma 191 W. Second Street Santa Ana CA CALIFORNIA 92701 Director Greg Wilson 191 W. Second Street Santa Ana CA CALIFORNIA 92701 Executive Officer Eric Fain 191 W. Second Street Santa Ana CA CALIFORNIA 92701 Director Other Health Care Decline to Disclose 06b false 2021-08-04 false true true true false 10000 8071840 6691843 1379997 Includes (1) Series Seed Preferred Stock, (2) Warrants to purchase Series Seed Preferred Stock and (3) all underlying securities associated with (1) and (2). Total Amount Sold includes conversion of outstanding indebtedness in the amount of $4,841,847.57. false 32 0 0 0 false Aqua Heart Inc /s/ Holger Friedrich Holger Friedrich Chief Executive Officer 2021-08-18