0002087423-25-000004.txt : 20251001 0002087423-25-000004.hdr.sgml : 20251001 20251001105143 ACCESSION NUMBER: 0002087423-25-000004 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: 20251001 DATE AS OF CHANGE: 20251001 EFFECTIVENESS DATE: 20251001 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Siloam Vision, Inc. CENTRAL INDEX KEY: 0002087423 ORGANIZATION NAME: EIN: 873919257 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-559405 FILM NUMBER: 251363093 BUSINESS ADDRESS: STREET 1: 5331 S MACADAM AVE CITY: PORTLAND STATE: OR ZIP: 97239 BUSINESS PHONE: 561-818-2161 MAIL ADDRESS: STREET 1: 4770 BISCAYNE BLVD. STE. 600 CITY: MIAMI STATE: FL ZIP: 33137 D 1 primary_doc.xml X0708 D LIVE 0002087423 Siloam Vision, Inc. 5331 S MACADAM AVE PORTLAND OR OREGON 97239 561-818-2161 DELAWARE None None Corporation true 2021 John Peter Campbell 5 Suite 258 #1040 Portland OR OREGON 97239 Executive Officer Director Karyn Jonas 5331 S Macadam Ave Suite 258 #1040 Portland OR OREGON 97239 Executive Officer Tong Sun 5331 S Macadam Ave Suite 258 #1040 Portland OR OREGON 97239 Executive Officer Robison Vernon Paul Chan 5331 S Macadam Ave Suite 258 #1040 Portland OR OREGON 97239 Executive Officer Other Health Care Decline to Disclose 06b false 2025-01-31 false true Simple Agreement For Future Equity (SAFE) false 45000 745000 745000 0 false 8 0 0 170000 true false Siloam Vision, Inc. /John Peter Campbell/ John Peter Campbell CEO 2025-10-01