0001901059-21-000001.txt : 20211222 0001901059-21-000001.hdr.sgml : 20211222 20211222164507 ACCESSION NUMBER: 0001901059-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211222 DATE AS OF CHANGE: 20211222 EFFECTIVENESS DATE: 20211222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: El Camino Real Medical, Inc. CENTRAL INDEX KEY: 0001901059 IRS NUMBER: 823894309 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-426383 FILM NUMBER: 211513809 BUSINESS ADDRESS: STREET 1: 155 BOVET ROAD STREET 2: SUITE 100 CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: 650-581-1179 MAIL ADDRESS: STREET 1: 155 BOVET ROAD STREET 2: SUITE 100 CITY: SAN MATEO STATE: CA ZIP: 94402 D 1 primary_doc.xml X0708 D LIVE 0001901059 El Camino Real Medical, Inc. 155 BOVET ROAD SUITE 100 SAN MATEO CA CALIFORNIA 94402 650-581-1179 DELAWARE None None Corporation true 2018 Tony Chou 155 Bovet Road, Suite 100 San Mateo CA CALIFORNIA 94402 Executive Officer Director Jonathan Root 155 Bovet Road, Suite 100 San Mateo CA CALIFORNIA 94402 Director Jack Lasersohn 155 Bovet Road, Suite 100 San Mateo CA CALIFORNIA 94402 Director Other Health Care Decline to Disclose 06b false 2021-12-09 false true false 0 319806 319806 0 false 3 0 0 0 false El Camino Real Medical, Inc. /s/ Tony Chou Tony Chou Chief Executive Officer 2021-12-22