0001615594-23-000049.txt : 20230802 0001615594-23-000049.hdr.sgml : 20230802 20230802112620 ACCESSION NUMBER: 0001615594-23-000049 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230802 DATE AS OF CHANGE: 20230802 EFFECTIVENESS DATE: 20230802 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Balance Ophthalmics, Inc. CENTRAL INDEX KEY: 0001988244 IRS NUMBER: 923634896 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-488545 FILM NUMBER: 231134312 BUSINESS ADDRESS: STREET 1: 3101 W 57TH ST CITY: SIOUX FALLS STATE: SD ZIP: 57108 BUSINESS PHONE: (817) 917-5749 MAIL ADDRESS: STREET 1: 3101 W 57TH ST CITY: SIOUX FALLS STATE: SD ZIP: 57108 D 1 primary_doc.xml X0708 D LIVE 0001988244 Balance Ophthalmics, Inc. 7001 S Honors Dr SIOUX FALLS SD SOUTH DAKOTA 57108 (817) 917-5749 DELAWARE None None Corporation true 2023 John Berdahl 7001 S Honors Dr Sioux Falls SD SOUTH DAKOTA 57108 Executive Officer Director Stuart Raetzman 7001 S Honors Dr Sioux Falls SD SOUTH DAKOTA 57108 Director Philip Phillips 7001 S Honors Dr Sioux Falls SD SOUTH DAKOTA 57108 Director Seph Jensen 7001 S Honors Dr Sioux Falls SD SOUTH DAKOTA 57108 Executive Officer Director Matt Larson 7001 S Honors Dr Sioux Falls SD SOUTH DAKOTA 57108 Director Other Health Care Decline to Disclose 06b false 2023-07-15 false true false 10000 3000000 2050000 950000 false 8 0 0 0 false Balance Ophthalmics, Inc. /s/ Seph Jensen Seph Jensen CEO 2023-08-02