0000950103-21-013063.txt : 20210827
0000950103-21-013063.hdr.sgml : 20210827
20210827162638
ACCESSION NUMBER: 0000950103-21-013063
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210805
FILED AS OF DATE: 20210827
DATE AS OF CHANGE: 20210827
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burgess Vincent J
CENTRAL INDEX KEY: 0001365408
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39430
FILM NUMBER: 211219232
MAIL ADDRESS:
STREET 1: 2210 FARADAY AVE #100
CITY: CARLSBAD
STATE: CA
ZIP: 92008
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Acutus Medical, Inc.
CENTRAL INDEX KEY: 0001522860
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 451306615
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2210 FARADAY AVE
STREET 2: SUITE 100
CITY: CARLSBAD
STATE: CA
ZIP: 92008
BUSINESS PHONE: 442-232-6080
MAIL ADDRESS:
STREET 1: 2210 FARADAY AVE
STREET 2: SUITE 100
CITY: CARLSBAD
STATE: CA
ZIP: 92008
4
1
dp156937_4-burgess.xml
FORM 4
X0306
4
2021-08-05
0
0001522860
Acutus Medical, Inc.
AFIB
0001365408
Burgess Vincent J
C/O ACUTUS MEDICAL, INC.
2210 FARADAY AVE., SUITE 100
CARLSBAD
CA
92008
1
1
0
0
Chief Executive Officer
Common Stock
2021-08-05
4
F
0
1922
15.52
D
65365
D
/s/ Tom Sohn as attorney-in-fact for Vincent J. Burgess
2021-08-27