0002087423-26-000001.txt : 20260128 0002087423-26-000001.hdr.sgml : 20260128 20260128142609 ACCESSION NUMBER: 0002087423-26-000001 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: 20260128 DATE AS OF CHANGE: 20260128 EFFECTIVENESS DATE: 20260128 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: 021-571445 FILM NUMBER: 26571647 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 5331 S Macadam Ave. 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 2026-01-26 false true SIMPLE AGREEMENT FOR FUTURE EQUITY (SAFE) false 50000 700000 350000 350000 false 2 0 0 0 true false Siloam Vision, Inc. /John Peter Campbell/ John Peter Campbell CEO 2026-01-28