0001947471-22-000001.txt : 20220922 0001947471-22-000001.hdr.sgml : 20220922 20220922122801 ACCESSION NUMBER: 0001947471-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220922 DATE AS OF CHANGE: 20220922 EFFECTIVENESS DATE: 20220922 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Compliant Innovations, Inc CENTRAL INDEX KEY: 0001947471 IRS NUMBER: 470995921 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-459579 FILM NUMBER: 221258656 BUSINESS ADDRESS: STREET 1: 333 W EL CAMINO REAL STREET 2: SUITE 370 CITY: SUNNYVALE STATE: CA ZIP: 94087 BUSINESS PHONE: 408-610-2600 MAIL ADDRESS: STREET 1: 333 W EL CAMINO REAL STREET 2: SUITE 370 CITY: SUNNYVALE STATE: CA ZIP: 94087 D 1 primary_doc.xml X0708 D LIVE 0001947471 Compliant Innovations, Inc 333 W EL CAMINO REAL SUITE 370 SUNNYVALE CA CALIFORNIA 94087 408-610-2600 DELAWARE None None Corporation true Samuel Ethiopia c/o Compliant Innovations, Inc. 333 W El Camino Real, Suite 370 Sunnyvale CA CALIFORNIA 94087 Executive Officer Director Sy Fahimi c/o Compliant Innovations, Inc. 333 W El Camino Real, Suite 370 Sunnyvale CA CALIFORNIA 94087 Executive Officer Director Kevin Duncan c/o Compliant Innovations, Inc. 333 W El Camino Real, Suite 370 Sunnyvale CA CALIFORNIA 94087 Director Ken Trauner c/o Compliant Innovations, Inc. 333 W El Camino Real, Suite 370 Sunnyvale CA CALIFORNIA 94087 Director Shaun Hawkins c/o Compliant Innovations, Inc. 333 W El Camino Real, Suite 370 Sunnyvale CA CALIFORNIA 94087 Director Tamir Meiri c/o Compliant Innovations, Inc. 333 W El Camino Real, Suite 370 Sunnyvale CA CALIFORNIA 94087 Director Other Health Care Decline to Disclose 06b false 2022-09-12 false true false 1 9606652 9606652 0 false 34 0 0 0 false Compliant Innovations, Inc /s/ Samuel Ethiopia Samuel Ethiopia Chief Executive Officer 2022-09-22