0001901062-21-000001.txt : 20211222 0001901062-21-000001.hdr.sgml : 20211222 20211222164949 ACCESSION NUMBER: 0001901062-21-000001 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: Highway 1 Medical, Inc. CENTRAL INDEX KEY: 0001901062 IRS NUMBER: 823889334 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-426384 FILM NUMBER: 211513839 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 0001901062 Highway 1 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 639613 639613 0 false 3 0 0 0 false Highway 1 Medical, Inc. /s/ Tony Chou Tony Chou Chief Executive Officer 2021-12-22