0001437749-25-028314.txt : 20250904
0001437749-25-028314.hdr.sgml : 20250904
20250903181012
ACCESSION NUMBER: 0001437749-25-028314
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering
FILED AS OF DATE: 20250904
DATE AS OF CHANGE: 20250903
EFFECTIVENESS DATE: 20250904
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Provisio Medical Technologies Corp
CENTRAL INDEX KEY: 0002082025
ORGANIZATION NAME:
EIN: 392947700
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-556259
FILM NUMBER: 251291349
BUSINESS ADDRESS:
STREET 1: 10815 RANCHO BERNARDO RD
STREET 2: SUITE 110
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
BUSINESS PHONE: 8585243901
MAIL ADDRESS:
STREET 1: 10815 RANCHO BERNARDO RD
STREET 2: SUITE 110
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
D/A
1
primary_doc.xml
X0708
D/A
LIVE
0002082025
Provisio Medical Technologies Corp
10815 Rancho Bernardo Road
Suite 110
San Diego
CA
CALIFORNIA
92127
858-524-3901
DELAWARE
None
None
Corporation
true
2025
Stephen
Eric
Ryan
c/o Provisio Medical Technologies Corp.
10815 Rancho Bernardo Road, Suite 110
San Diego
CA
CALIFORNIA
92127
Executive Officer
Director
John
McCallum
JAM Captial Partners
PO Box 20097
St. Simons Island
GA
GEORGIA
31522
Director
Aurelio
Fernandez
c/o Provisio Medical Technologies Corp.
10815 Rancho Bernardo Road, Suite 110
San Diego
CA
CALIFORNIA
92127
Director
Michael
Chobotov
c/o Provisio Medical Technologies Corp.
10815 Rancho Bernardo Road, Suite 110
San Diego
CA
CALIFORNIA
92127
Director
Christopher
Carcerano
c/o Provisio Medical Technologies Corp.
10815 Rancho Bernardo Road, Suite 110
San Diego
CA
CALIFORNIA
92127
Executive Officer
Other Technology
Decline to Disclose
- 06b
true
0001437749-25-028010
2025-08-26
false
true
Debt in form of debentures convertible into shares of a to be designated senior preferred stock of Issuer on terms to be determined.
true
Issuer acquired all of the assets, excluding certain liabilities, of its parent, Provisio Medical, Inc., in exchange for 7,999,000 shares of common stock of Issuer which were issued to Parent. Parent owns 100% of the current outstanding shares of Issuer.
50000
10000000
3127211
6872789
false
7
0
0
1000000
true
false
Provisio Medical Technologies Corp
/s/ Stephen Eric Ryan
Stephen Eric Ryan
President
2025-09-03