0001493152-22-000015.txt : 20220103 0001493152-22-000015.hdr.sgml : 20220103 20220103061104 ACCESSION NUMBER: 0001493152-22-000015 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220103 DATE AS OF CHANGE: 20220103 EFFECTIVENESS DATE: 20220103 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Intubation Science, Inc CENTRAL INDEX KEY: 0001888262 IRS NUMBER: 822207597 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-421062 FILM NUMBER: 22500136 BUSINESS ADDRESS: STREET 1: 1450 NORTH MCDOWELL BLVD, STREET 2: SUITE 150 CITY: PETALUMA STATE: CA ZIP: 95954 BUSINESS PHONE: (415) 578-9583 MAIL ADDRESS: STREET 1: INTUBATION SCIENCE C/O JERRY KATZMAN MD STREET 2: 13194 US HWY 301 SUITE248 CITY: RIVERVIEW STATE: FL ZIP: 33578 D/A 1 primary_doc.xml X0708 D/A LIVE 0001888262 Intubation Science, Inc 1450 NORTH MCDOWELL BOULEVARD PETALUMA CA CALIFORNIA 94954 (415)578-9583 DELAWARE None None Corporation true Jerry Katzman 1450 North McDowell Blvd Petaluma CA CALIFORNIA 94954 Executive Officer Director Chief Executive Officer and Director Other Health Care Decline to Disclose 06b true 0001493152-21-028283 2021-10-18 false true false Chief Executive Officer and Director 0 None None None None NONE NONE XX Unknown 000 All States false 10000000 75000 9925000 false 0 0 0 0 false Intubation Science, Inc /s/ Jerry Katzman Jerry Katzman Chief Executive Officer 2022-01-03