0001595215-23-000001.txt : 20230901 0001595215-23-000001.hdr.sgml : 20230901 20230901120318 ACCESSION NUMBER: 0001595215-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230901 DATE AS OF CHANGE: 20230901 EFFECTIVENESS DATE: 20230901 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rakuten Medical, Inc. CENTRAL INDEX KEY: 0001595215 IRS NUMBER: 272624716 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-491218 FILM NUMBER: 231231455 BUSINESS ADDRESS: STREET 1: 900 CONCAR DR. STREET 2: SUITE 400 CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: 858-925-5619 MAIL ADDRESS: STREET 1: 900 CONCAR DR. STREET 2: SUITE 400 CITY: SAN MATEO STATE: CA ZIP: 94402 FORMER COMPANY: FORMER CONFORMED NAME: Rakuten Aspyrian, Inc. DATE OF NAME CHANGE: 20180815 FORMER COMPANY: FORMER CONFORMED NAME: Aspyrian Therapeutics, Inc. DATE OF NAME CHANGE: 20131223 D 1 primary_doc.xml X0708 D LIVE 0001595215 Rakuten Medical, Inc. 11080 Roselle Street San Diego CA CALIFORNIA 92121 (833) 725-8633 DELAWARE Rakuten Aspyrian, Inc. Aspyrian Therapeutics, Inc. Corporation true Takashi Toraishi 11080 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Director Hiroshi Mikitani 11080 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Director Hiroshi Mori 11080 Roselle Street San Diego CA CALIFORNIA 92121 Director David Chao 11080 Roselle Street San Diego CA CALIFORNIA 92121 Director Nitin Nohria 11080 Roselle Street San Diego CA CALIFORNIA 92121 Director Kentaro Hyakuno 11080 Roselle Street San Diego CA CALIFORNIA 92121 Director Carlos Garcia 11080 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Abhijit Bhatia 11080 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Tiffany Piecewicz 11080 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Miguel Garcia-Guzman 11080 Roselle Street San Diego CA CALIFORNIA 92121 Director Hiroshi Takasawa 11080 Roselle Street San Diego CA CALIFORNIA 92121 Director Mazen Darwazeh 11080 Roselle Street San Diego CA CALIFORNIA 92121 Director Biotechnology Decline to Disclose 06b false 2023-08-18 false true false 0 123689146 104816348 18872798 Includes shares of capital stock issued pursuant to conversion of convertible notes in the amount of $73,689,146.18. false 15 0 0 0 false Rakuten Medical, Inc. /s/ Tiffany Piecewicz Tiffany Piecewicz Secretary 2023-09-01