0002071871-25-000004.txt : 20250714 0002071871-25-000004.hdr.sgml : 20250714 20250711180345 ACCESSION NUMBER: 0002071871-25-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20250714 DATE AS OF CHANGE: 20250711 EFFECTIVENESS DATE: 20250714 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Black Light Surgical, Inc. CENTRAL INDEX KEY: 0002071871 ORGANIZATION NAME: EIN: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-551532 FILM NUMBER: 251119844 BUSINESS ADDRESS: STREET 1: 323 SUNNY ISLES BLVD, 7TH FLOOR STREET 2: UNIT 723 CITY: SUNNY ISLES BEACH STATE: FL ZIP: 33160 BUSINESS PHONE: 310-701-2984 MAIL ADDRESS: STREET 1: 323 SUNNY ISLES BLVD, 7TH FLOOR STREET 2: UNIT 723 CITY: SUNNY ISLES BEACH STATE: FL ZIP: 33160 D 1 primary_doc.xml X0708 D LIVE 0002071871 Black Light Surgical, Inc. 323 SUNNY ISLES BLVD, 7TH FLOOR UNIT 723 SUNNY ISLES BEACH FL FLORIDA 33160 (818) 399-5150 DELAWARE None None Corporation true Dominic Verne Sharma 323 Sunny Isles Blvd., 7th Floor #723 Sunny Isles Beach FL FLORIDA 33160 Executive Officer Director Keith Black, M.D. 323 Sunny Isles Blvd., 7th Floor #723 Sunny Isles Beach FL FLORIDA 33160 Executive Officer Director Jack Kavanaugh 323 Sunny Isles Blvd., 7th Floor #723 Sunny Isles Beach FL FLORIDA 33160 Executive Officer Director Butte Pramod 323 Sunny Isles Blvd., 7th Floor #723 Sunny Isles Beach FL FLORIDA 33160 Executive Officer Robert Snukal 323 Sunny Isles Blvd., 7th Floor #723 Sunny Isles Beach FL FLORIDA 33160 Director Other Health Care Decline to Disclose 06b false 2025-06-30 false true false 0 12500000 2050000 10450000 false 4 0 0 0 false Black Light Surgical, Inc. /s/Dominic Verne Sharma Dominic Verne Sharma Chief Executive Officer 2025-07-11