0001893745-21-000001.txt : 20211119 0001893745-21-000001.hdr.sgml : 20211119 20211119125619 ACCESSION NUMBER: 0001893745-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211119 DATE AS OF CHANGE: 20211119 EFFECTIVENESS DATE: 20211119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rivermark Medical, Inc. CENTRAL INDEX KEY: 0001893745 IRS NUMBER: 872191689 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-421822 FILM NUMBER: 211427586 BUSINESS ADDRESS: STREET 1: 1639 ALTA VISTA AVE. CITY: MILWAUKEE STATE: WI ZIP: 53213 BUSINESS PHONE: 773-307-9665 MAIL ADDRESS: STREET 1: 1639 ALTA VISTA AVE. CITY: MILWAUKEE STATE: WI ZIP: 53213 D 1 primary_doc.xml X0708 D LIVE 0001893745 Rivermark Medical, Inc. 1639 ALTA VISTA AVE. MILWAUKEE WI WISCONSIN 53213 773-307-9665 DELAWARE None None Corporation true 2021 Adam Kadlec 1639 Alta Vista Ave Milwaukee WI WISCONSIN 53213 Executive Officer Director Anand Doraiswamy 1634 Mountain Blvd Oakland CA CALIFORNIA 94611 Executive Officer Director Carter Meyer c/o Rivermark Medical, Inc. 1639 Alta Vista Ave Milwaukee WI WISCONSIN 53213 Director Other Technology Decline to Disclose 06b false 2021-11-05 false true false 0 1750001 1750001 0 false 5 0 0 0 false Rivermark Medical, Inc. /s/ Adam Kadlec Adam Kadlec Chief Executive Officer and President 2021-11-15