0001896684-21-000001.txt : 20211203 0001896684-21-000001.hdr.sgml : 20211203 20211203124338 ACCESSION NUMBER: 0001896684-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211203 DATE AS OF CHANGE: 20211203 EFFECTIVENESS DATE: 20211203 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Biolumic, Inc. CENTRAL INDEX KEY: 0001896684 IRS NUMBER: 852632445 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-423555 FILM NUMBER: 211469339 BUSINESS ADDRESS: STREET 1: 21 DAIRY FARM ROAD CITY: PALMERSTON NORTH STATE: Q2 ZIP: 4440 BUSINESS PHONE: (917) 502-4400 MAIL ADDRESS: STREET 1: 21 DAIRY FARM ROAD CITY: PALMERSTON NORTH STATE: Q2 ZIP: 4440 D 1 primary_doc.xml X0708 D LIVE 0001896684 Biolumic, Inc. 21 DAIRY FARM ROAD PALMERSTON NORTH Q2 NEW ZEALAND 4440 (917) 502-4400 DELAWARE None None Corporation true 2020 Steven Sibulkin 21 DAIRY FARM ROAD PALMERSTON NORTH Q2 NEW ZEALAND 4440 Executive Officer Director Dean Tilyard 21 DAIRY FARM ROAD PALMERSTON NORTH Q2 NEW ZEALAND 4440 Director Mary Dimou 21 DAIRY FARM ROAD PALMERSTON NORTH Q2 NEW ZEALAND 4440 Director John Bedbrook 21 DAIRY FARM ROAD PALMERSTON NORTH Q2 NEW ZEALAND 4440 Director Mark Brown 21 DAIRY FARM ROAD PALMERSTON NORTH Q2 NEW ZEALAND 4440 Director Adrian Percy 21 DAIRY FARM ROAD PALMERSTON NORTH Q2 NEW ZEALAND 4440 Director Jason Wargent 21 DAIRY FARM ROAD PALMERSTON NORTH Q2 NEW ZEALAND 4440 Executive Officer Other Technology Decline to Disclose 06b false 2021-11-19 false true false 0 1250000 1250000 0 false 7 0 0 0 false Biolumic, Inc. /s/ Steven Sibulkin Steven Sibulkin Chief Executive Officer 2021-12-03