0001209191-23-042486.txt : 20230718 0001209191-23-042486.hdr.sgml : 20230718 20230717182740 ACCESSION NUMBER: 0001209191-23-042486 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230718 DATE AS OF CHANGE: 20230717 EFFECTIVENESS DATE: 20230718 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PolyVascular, Inc. CENTRAL INDEX KEY: 0001983819 IRS NUMBER: 471238096 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-487176 FILM NUMBER: 231092591 BUSINESS ADDRESS: STREET 1: 6501 NAVIGATION BLVD STREET 2: SUITE 02 CITY: HOUSTON STATE: TX ZIP: 77011 BUSINESS PHONE: 206-300-7165 MAIL ADDRESS: STREET 1: 6501 NAVIGATION BLVD STREET 2: SUITE 02 CITY: HOUSTON STATE: TX ZIP: 77011 D 1 primary_doc.xml X0708 D LIVE 0001983819 PolyVascular, Inc. 6501 Navigation Blvd, Suite 02 Houston TX TEXAS 77011 (832) 323-1843 DELAWARE Polyvascular Corp None Corporation true Tim Smokoff 6501 Navigation Blvd. Suite 02 Houston TX TEXAS 77011 Executive Officer Director Henri Justino 6501 Navigation Blvd., Suite 02 Houston TX TEXAS 77011 Director Daniel Harrington 6501 Navigation Blvd., Suite 02 Houston TX TEXAS 77011 Director Kwonsoo Chun 6501 Navigation Blvd., Suite 02 Houston TX TEXAS 77011 Director Paul Swegle 9416 24th Ave NW Seattle WA WASHINGTON 98117 Executive Officer Other Health Care No Revenues 06b false 2023-06-26 false true false 100000 2000000 795000 1205000 false 5 0 0 0 false PolyVascular, Inc. /s/ Paul Swegle Paul Swegle General Counsel and Secretary 2023-07-17