0001948960-22-000003.txt : 20221006 0001948960-22-000003.hdr.sgml : 20221006 20221006163506 ACCESSION NUMBER: 0001948960-22-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221006 DATE AS OF CHANGE: 20221006 EFFECTIVENESS DATE: 20221006 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Venova Medical Inc CENTRAL INDEX KEY: 0001948960 IRS NUMBER: 832778370 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-461047 FILM NUMBER: 221298492 BUSINESS ADDRESS: STREET 1: 16417 PEACOCK LANE CITY: LOS GATOS STATE: CA ZIP: 95032 BUSINESS PHONE: (408) 242-5897 MAIL ADDRESS: STREET 1: 16417 PEACOCK LANE CITY: LOS GATOS STATE: CA ZIP: 95032 D 1 primary_doc.xml X0708 D LIVE 0001948960 Venova Medical Inc 16417 PEACOCK LANE LOS GATOS CA CALIFORNIA 95032 (408) 242-5897 DELAWARE None None Corporation true 2018 Erik van der Burg 16417 PEACOCK LANE LOS GATOS CA CALIFORNIA 95032 Executive Officer Director Shant Vartanian 16417 PEACOCK LANE LOS GATOS CA CALIFORNIA 95032 Director Michael Wallace 16417 PEACOCK LANE LOS GATOS CA CALIFORNIA 95032 Director Other Decline to Disclose 06b false 2022-09-22 false true false 0 6928374 6928364 10 false 33 0 0 0 false Venova Medical Inc /s/Erik van der Burg Erik van der Burg President & CEO 2022-10-06