0001878646-24-000014.txt : 20240430 0001878646-24-000014.hdr.sgml : 20240430 20240430140709 ACCESSION NUMBER: 0001878646-24-000014 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240430 DATE AS OF CHANGE: 20240430 EFFECTIVENESS DATE: 20240430 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JelliSee Ophthalmics Inc. CENTRAL INDEX KEY: 0002006388 ORGANIZATION NAME: IRS NUMBER: 834120507 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-501749 FILM NUMBER: 24896240 BUSINESS ADDRESS: STREET 1: 8414 HOLLY LEAF DR. CITY: MCLEAN STATE: VA ZIP: 22102 BUSINESS PHONE: 610-640-5435 MAIL ADDRESS: STREET 1: 8414 HOLLY LEAF DR. CITY: MCLEAN STATE: VA ZIP: 22102 D/A 1 primary_doc.xml X0708 D/A LIVE 0002006388 JelliSee Ophthalmics Inc. 8414 HOLLY LEAF DR. MCLEAN VA VIRGINIA 22102 610-640-5435 DELAWARE None None Corporation true 2019 Forrest J Ellis 8414 Holly Leaf Dr McLean VA VIRGINIA 22102 Executive Officer Director Amy R. Jeffery 8414 Holly Leaf Dr McLean VA VIRGINIA 22102 Executive Officer Director Michael J. Malesardi 8414 Holly Leaf Dr McLean VA VIRGINIA 22102 Executive Officer Director Dimitri Azar 8414 Holly Leaf Dr McLean VA VIRGINIA 22102 Director Jerry Arthur 8414 Holly Leaf Dr McLean VA VIRGINIA 22102 Director Adrienne Graves 8414 Holly Leaf Dr McLean VA VIRGINIA 22102 Director Biotechnology Decline to Disclose 06b true 0001878646-24-000001 2023-12-21 false true true false 0 10000000 3725000 6275000 false 34 0 0 0 false JelliSee Ophthalmics Inc. /s/Forrest J. Ellis Forrest J Ellis Chief Executive Officer 2024-04-29