0001882706-21-000001.txt : 20211012 0001882706-21-000001.hdr.sgml : 20211012 20211012085835 ACCESSION NUMBER: 0001882706-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211012 DATE AS OF CHANGE: 20211012 EFFECTIVENESS DATE: 20211012 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Night Owl Medical, Inc. CENTRAL INDEX KEY: 0001882706 IRS NUMBER: 872329733 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-416456 FILM NUMBER: 211317139 BUSINESS ADDRESS: STREET 1: 50 THREE TUN ROAD, SUITE 2 CITY: MALVERN STATE: PA ZIP: 19355 BUSINESS PHONE: 610-334-6091 MAIL ADDRESS: STREET 1: 50 THREE TUN ROAD, SUITE 2 CITY: MALVERN STATE: PA ZIP: 19355 D 1 primary_doc.xml X0708 D LIVE 0001882706 Night Owl Medical, Inc. 50 THREE TUN ROAD, SUITE 2 MALVERN PA PENNSYLVANIA 19355 610-334-6091 DELAWARE None None Corporation true 2021 Skott Greenhalgh 50 Three Tun Road, Suite 2 Malvern PA PENNSYLVANIA 19355 Executive Officer Director Michael Wallace 50 Three Tun Road, Suite 2 Malvern PA PENNSYLVANIA 19355 Executive Officer Director Jason Keiser 50 Three Tun Road, Suite 2 Malvern PA PENNSYLVANIA 19355 Executive Officer Other Health Care Decline to Disclose 06b false 2021-10-04 false true false 0 100000 100000 0 false 25 0 0 0 false Night Owl Medical, Inc. Skott Greenhalgh Skott Greenhalgh Chief Executive Officer 2021-10-12