0001209191-23-050163.txt : 20230920
0001209191-23-050163.hdr.sgml : 20230920
20230920163030
ACCESSION NUMBER: 0001209191-23-050163
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20230920
DATE AS OF CHANGE: 20230920
EFFECTIVENESS DATE: 20230920
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Heart Test Laboratories, Inc.
CENTRAL INDEX KEY: 0001468492
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 261344466
STATE OF INCORPORATION: TX
FISCAL YEAR END: 0430
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-492618
FILM NUMBER: 231266825
BUSINESS ADDRESS:
STREET 1: 550 RESERVE ST, SUITE 360
CITY: SOUTHLAKE
STATE: TX
ZIP: 76092
BUSINESS PHONE: 682-237-7781
MAIL ADDRESS:
STREET 1: 550 RESERVE ST, SUITE 360
CITY: SOUTHLAKE
STATE: TX
ZIP: 76092
D
1
primary_doc.xml
X0708
D
LIVE
0001468492
Heart Test Laboratories, Inc.
550 Reserve Street
Suite 360
Southlake
TX
TEXAS
76092
(682) 237-7781
TEXAS
None
None
Corporation
true
Andrew
Simpson
550 Reserve Street
Suite 360
Southlake
TX
TEXAS
76092
Executive Officer
Director
Andrew Simpson is the President, Chief Executive Officer and Chairman of the Board of Directors
Mark
Hilz
550 Reserve Street
Suite 360
Southlake
TX
TEXAS
76092
Executive Officer
Director
Mark Hilz is the Chief Operating Officer, Secretary and Director.
Danielle
Watson
550 Reserve Street
Suite 360
Southlake
TX
TEXAS
76092
Executive Officer
Danielle Watson is the Chief Financial Officer and Treasurer.
Bruce
Bent
550 Reserve Street
Suite 360
Southlake
TX
TEXAS
76092
Director
David
R.
Wells
550 Reserve Street
Suite 360
Southlake
TX
TEXAS
76092
Director
Brian
Szymczak
550 Reserve Street
Suite 360
Southlake
TX
TEXAS
76092
Director
Other Health Care
$1 - $1,000,000
- 06b
false
2023-09-07
false
true
true
true
false
0
1000000
1000000
0
Represents the issuance of an unsecured promissory drawdown loan note of up to $1,000,000 and related issuance of up to 1,500,000 warrants, pursuant to the terms of such note and warrants.
false
1
0
0
0
Some proceeds to be used for general working capital purposes may include salaries, payments and expenses reimbursements to officers and/or directors listed above in Item 3.
false
Heart Test Laboratories, Inc.
/s/ Andrew Simpson
Andrew Simpson
Chief Executive Officer
2023-09-20