0001893991-21-000001.txt : 20211116 0001893991-21-000001.hdr.sgml : 20211116 20211116133248 ACCESSION NUMBER: 0001893991-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211116 DATE AS OF CHANGE: 20211116 EFFECTIVENESS DATE: 20211116 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Avivomed Inc. CENTRAL INDEX KEY: 0001893991 IRS NUMBER: 852457428 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-421311 FILM NUMBER: 211415317 BUSINESS ADDRESS: STREET 1: C/O FAEGRE DRINKER BIDDLE & REATH LLP STREET 2: 90 S 7TH STREET, SUITE 2200 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 BUSINESS PHONE: 612-766-7000 MAIL ADDRESS: STREET 1: C/O FAEGRE DRINKER BIDDLE & REATH LLP STREET 2: 90 S 7TH STREET, SUITE 2200 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 D 1 primary_doc.xml X0708 D LIVE 0001893991 Avivomed Inc. C/O FAEGRE DRINKER BIDDLE & REATH LLP 90 S 7TH STREET, SUITE 2200 MINNEAPOLIS MN MINNESOTA 55402 612-766-7000 DELAWARE None None Corporation true 2021 Stephen Masson c/o Faegre Drinker Biddle & Reath LLP 90 S 7th Street, Suite 2200 Minneapolis MN MINNESOTA 55402 Executive Officer Director Mudit K. Jain c/o Faegre Drinker Biddle & Reath LLP 90 S 7th Street, Suite 2200 Minneapolis MN MINNESOTA 55402 Director Ketan Patel c/o Faegre Drinker Biddle & Reath LLP 90 S 7th Street, Suite 2200 Minneapolis MN MINNESOTA 55402 Director Theresa C. Pappas c/o Faegre Drinker Biddle & Reath LLP 90 S 7th Street, Suite 2200 Minneapolis MN MINNESOTA 55402 Director Casper de Clercq c/o Faegre Drinker Biddle & Reath LLP 90 S 7th Street, Suite 2200 Minneapolis MN MINNESOTA 55402 Director Douglas Reed c/o Faegre Drinker Biddle & Reath LLP 90 S 7th Street, Suite 2200 Minneapolis MN MINNESOTA 55402 Director Biotechnology Decline to Disclose 06b false 2021-11-03 true true false 0 32000000 20118334 11881666 false 6 0 0 0 false Avivomed Inc. /s/ Stephen C. Masson, Jr. Stephen C. Masson, Jr. CEO 2021-11-16