0001976949-24-000001.txt : 20241212 0001976949-24-000001.hdr.sgml : 20241212 20241212140433 ACCESSION NUMBER: 0001976949-24-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241212 DATE AS OF CHANGE: 20241212 EFFECTIVENESS DATE: 20241212 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Origin Medical Systems, Inc. CENTRAL INDEX KEY: 0001976949 ORGANIZATION NAME: IRS NUMBER: 923013233 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-481651 FILM NUMBER: 241544225 BUSINESS ADDRESS: STREET 1: ONE BROADWAY, 14TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02142 BUSINESS PHONE: 781-219-7596 MAIL ADDRESS: STREET 1: ONE BROADWAY, 14TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02142 D/A 1 primary_doc.xml X0708 D/A LIVE 0001976949 Origin Medical Systems, Inc. ONE BROADWAY, 14TH FLOOR CAMBRIDGE MA MASSACHUSETTS 02142 781-219-7596 DELAWARE None None Corporation true 2023 Jian Fu Jens Thang One Broadway, 14th Floor Cambridge MA MASSACHUSETTS 02142 Executive Officer Director Promoter Sripad Krishna Devalla One Broadway, 14th Floor Cambridge MA MASSACHUSETTS 02142 Executive Officer Promoter Michael Butler One Broadway, 14th Floor Cambridge MA MASSACHUSETTS 02142 Director Stephen Bruso One Broadway, 14th Floor Cambridge MA MASSACHUSETTS 02142 Director Other Technology Decline to Disclose 06b true 0001976949-23-000002 2023-05-05 true true false 0 9160500 6660450 2500050 false 6 0 0 0 false Origin Medical Systems, Inc. Jian Fu Jens Thang Jian Fu Jens Thang Chief Executive Officer 2024-12-12