0001615594-24-000040.txt : 20241004 0001615594-24-000040.hdr.sgml : 20241004 20241004145459 ACCESSION NUMBER: 0001615594-24-000040 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241004 DATE AS OF CHANGE: 20241004 EFFECTIVENESS DATE: 20241004 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Balance Ophthalmics, Inc. CENTRAL INDEX KEY: 0001988244 ORGANIZATION NAME: IRS NUMBER: 923634896 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-525925 FILM NUMBER: 241354556 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. 2600 W 49th St Ste 300 SIOUX FALLS SD SOUTH DAKOTA 57105 (817) 917-5749 DELAWARE None None Corporation true 2023 Seph Jensen 2600 W 49th St Ste 300 Sioux Falls SD SOUTH DAKOTA 57105 Executive Officer Director Stuart Raetzman 2600 W 49th St Stee 300 Sioux Falls SD SOUTH DAKOTA 57105 Director Philip Phillips 2600 W 49th St Ste 300 Sioux Falls SD SOUTH DAKOTA 57105 Director John Berdahl 2600 W 49th St Ste 300 Sioux Falls SD SOUTH DAKOTA 57105 Executive Officer Director Matt Larson 2600 W 49th St Ste 300 Sioux Falls SD SOUTH DAKOTA 57105 Director Alison Bauerlein 2600 W 49th St Ste 300 Sioux Falls SD SOUTH DAKOTA 57105 Director Other Health Care Decline to Disclose 06b false 2024-09-20 false true false 100000 3700000 3699964 36 false 29 0 0 0 false Balance Ophthalmics, Inc. /s/ Seph Jensen Seph Jensen CEO 2024-10-04