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