0001969575-23-000001.txt : 20230314 0001969575-23-000001.hdr.sgml : 20230314 20230314173719 ACCESSION NUMBER: 0001969575-23-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230301 FILED AS OF DATE: 20230314 DATE AS OF CHANGE: 20230314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cohen Daniel CENTRAL INDEX KEY: 0001969575 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40919 FILM NUMBER: 23732229 MAIL ADDRESS: STREET 1: C/O ACCELMED STREET 2: 848 BRICKELL AVE, #901 CITY: MIAMI STATE: FL ZIP: 33131 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MINERVA SURGICAL INC CENTRAL INDEX KEY: 0001452965 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 263422906 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4255 BURTON DRIVE CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: (855) 646-7874 MAIL ADDRESS: STREET 1: 4255 BURTON DRIVE CITY: SANTA CLARA STATE: CA ZIP: 95054 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2023-03-01 0 0001452965 MINERVA SURGICAL INC UTRS 0001969575 Cohen Daniel C/O ACCELMED 848 BRICKELL AVE, #901 MIAMI FL 33131 1 0 0 0 Common Stock 122189638 I See Footnote Shares are held by Accelmed Partners II L.P. Accelmed Partners II, LLC ("Accelmed LLC") is the general partner of Accelmed Partners II GP L.P., which is the general partner of Accelmed Partners II L.P. Mr. Cohen is a venture partner of Accelmed LLC and has no voting or dispositive power with respect to the shares held by Accelmed Partners II L.P. Accordingly, Mr. Cohen disclaims any interest in such shares. /s/ Daniel Cohen 2023-03-14