0001682746-18-000001.txt : 20181206 0001682746-18-000001.hdr.sgml : 20181206 20181206094755 ACCESSION NUMBER: 0001682746-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181206 DATE AS OF CHANGE: 20181206 EFFECTIVENESS DATE: 20181206 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Conformal Medical, Inc. CENTRAL INDEX KEY: 0001682746 IRS NUMBER: 811674240 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-327229 FILM NUMBER: 181219280 BUSINESS ADDRESS: STREET 1: 21 CONTINENTIAL BLVD. CITY: MERRIMACK STATE: NH ZIP: 03054 BUSINESS PHONE: (802) 299-7591 MAIL ADDRESS: STREET 1: 21 CONTINENTIAL BLVD. CITY: MERRIMACK STATE: NH ZIP: 03054 D 1 primary_doc.xml X0708 D LIVE 0001682746 Conformal Medical, Inc. 15 Trafalgar Square Suite 101 Nashua NH NEW HAMPSHIRE 03063 (802) 299-7591 DELAWARE None None Corporation true 2016 Andy H. Levine c/o Conformal Medical, Inc. 15 Trafalgar Square, Suite 101 Nashua NH NEW HAMPSHIRE 03063 Executive Officer Director Aaron V. Kaplan c/o Conformal Medical, Inc. 15 Trafalgar Square, Suite 101 Nashua NH NEW HAMPSHIRE 03063 Executive Officer Director Joshua S. Phillips c/o Conformal Medical, Inc. 15 Trafalgar Square, Suite 101 Nashua NH NEW HAMPSHIRE 03063 Director Scott Ward c/o Conformal Medical, Inc. 15 Trafalgar Square, Suite 101 Nashua NH NEW HAMPSHIRE 03063 Director Other Health Care Decline to Disclose 06b false 2018-11-20 false true false 0 8999975 8224975 775000 false 24 0 0 0 false Conformal Medical, Inc. /s/ Andy H. Levine Andy H. Levine President and Chief Executive Officer 2018-12-06