0001893418-21-000001.txt : 20211115
0001893418-21-000001.hdr.sgml : 20211115
20211115163106
ACCESSION NUMBER: 0001893418-21-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20211115
DATE AS OF CHANGE: 20211115
EFFECTIVENESS DATE: 20211115
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Guardian Medical USA, Inc.
CENTRAL INDEX KEY: 0001893418
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-421220
FILM NUMBER: 211411317
BUSINESS ADDRESS:
STREET 1: 11360 S. AIRFIELD ROAD
CITY: SWANTON
STATE: OH
ZIP: 43558
BUSINESS PHONE: 419-825-4040
MAIL ADDRESS:
STREET 1: 11360 S. AIRFIELD ROAD
CITY: SWANTON
STATE: OH
ZIP: 43558
D
1
primary_doc.xml
X0708
D
LIVE
0001893418
Guardian Medical USA, Inc.
11360 S. AIRFIELD ROAD
SWANTON
OH
OHIO
43558
419-825-4040
DELAWARE
None
None
Corporation
true
2021
Elizabeth
Brady
11360 S. Airfield Road
Swanton
OH
OHIO
43558
Executive Officer
Director
Tracy
Momany
11360 S. Airfield Road
Swanton
OH
OHIO
43558
Executive Officer
Matthew
Burba
11360 S. Airfield Road
Swanton
OH
OHIO
43558
Director
Ross
Bushman
11360 S. Airfield Road
Swanton
OH
OHIO
43558
Director
Theodore
Capossela
11360 S. Airfield Road
Swanton
OH
OHIO
43558
Director
Vijay
Goel
11360 S. Airfield Road
Swanton
OH
OHIO
43558
Director
Other Health Care
Decline to Disclose
- 06b
false
2021-11-03
false
true
true
A predecessor limited liability company was merged into the Issuer with the Issuer being the surviving corporation. The purpose of this merger was to convert the predecessor into a Delaware corporation.
9996
3200000
2438422
761578
false
20
0
0
25000
The investors agreed to the repayment of a short term loan to the Issuer made by an executive officer and director.
false
Guardian Medical USA, Inc.
Tracy Momany
Tracy Momany
President and CEO
2021-11-15