0001630050-17-000002.txt : 20170331
0001630050-17-000002.hdr.sgml : 20170331
20170331162126
ACCESSION NUMBER: 0001630050-17-000002
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170331
DATE AS OF CHANGE: 20170331
EFFECTIVENESS DATE: 20170331
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: 410 Medical, Inc.
CENTRAL INDEX KEY: 0001630050
IRS NUMBER: 463389037
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-283833
FILM NUMBER: 17730664
BUSINESS ADDRESS:
STREET 1: 201 W. MAIN STREET, SUITE 207
CITY: DURHAM
STATE: NC
ZIP: 27701
BUSINESS PHONE: 9192417900
MAIL ADDRESS:
STREET 1: 201 W. MAIN STREET, SUITE 207
CITY: DURHAM
STATE: NC
ZIP: 27701
FORMER COMPANY:
FORMER CONFORMED NAME: 410 Medical Innovation, LLC
DATE OF NAME CHANGE: 20150107
D
1
primary_doc.xml
X0707
D
LIVE
0001630050
410 Medical, Inc.
201 W. MAIN STREET, SUITE 207
DURHAM
NC
NORTH CAROLINA
27701
9192417900
DELAWARE
410 Medical Innovation, LLC
Corporation
true
2013
KYLE
CHENET
201 W. MAIN STREET, SUITE 207
DURHAM
NC
NORTH CAROLINA
27701
Executive Officer
Director
MARK
DONALD
PIEHL
201 W. MAIN STREET, SUITE 207
DURHAM
NC
NORTH CAROLINA
27701
Executive Officer
Director
GALEN
ROBERTSON
201 W. MAIN STREET, SUITE 207
DURHAM
NC
NORTH CAROLINA
27701
Executive Officer
LUKAS
MILLER
ROUSH
201 W. MAIN STREET, SUITE 207
DURHAM
NC
NORTH CAROLINA
27701
Director
MIKE
LIDDELL
201 W. MAIN STREET, SUITE 207
DURHAM
NC
NORTH CAROLINA
27701
Director
LARRY
MILLER
201 W. MAIN STREET, SUITE 207
DURHAM
NC
NORTH CAROLINA
27701
Director
Other Health Care
Decline to Disclose
- 06b
false
2017-03-17
false
true
false
0
5000000
3274993
1725007
false
5
0
0
0
None other than payments of salary and/or bonuses in the ordinary course of business to certain of the parties named in response to Item 3.
false
410 Medical, Inc.
/s/ Mikal B. Shaikh
Mikal B. Shaikh
Attorney-in-Fact
2017-03-31