0001711837-21-000001.txt : 20210211 0001711837-21-000001.hdr.sgml : 20210211 20210211152450 ACCESSION NUMBER: 0001711837-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210211 DATE AS OF CHANGE: 20210211 EFFECTIVENESS DATE: 20210211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: VIOME, INC. CENTRAL INDEX KEY: 0001711837 IRS NUMBER: 813161987 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-389195 FILM NUMBER: 21619204 BUSINESS ADDRESS: STREET 1: 227 BELLEVUE WAY NE STREET 2: #158 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425 830 6556 MAIL ADDRESS: STREET 1: 227 BELLEVUE WAY NE STREET 2: #158 CITY: BELLEVUE STATE: WA ZIP: 98004 D 1 primary_doc.xml X0708 D LIVE 0001711837 VIOME, INC. 205 108th Avenue NE Suite 150 BELLEVUE WA WASHINGTON 98004 425 830 6556 DELAWARE Bluespin, Inc. None Corporation true 2016 Naveen Jain 205 108th Avenue NE, Suite 150 Bellevue WA WASHINGTON 98004 Executive Officer Director William A. Owens 205 108th Avenue NE, Suite 150 Bellevue WA WASHINGTON 98004 Director George Montgomery 205 108th Avenue NE, Suite 150 Bellevue WA WASHINGTON 98004 Director Christopher Kitze 205 108th Avenue NE, Suite 150 Bellevue WA WASHINGTON 98004 Director Other Decline to Disclose 06b false 2021-01-28 false true true Convertible Promissory Note & Warrant false 0 12500000 3000000 9500000 false 2 0 0 0 false VIOME, INC. \s\ Naveen Jain Naveen Jain CEO 2021-02-10