0001764417-22-000002.txt : 20220808 0001764417-22-000002.hdr.sgml : 20220808 20220808144559 ACCESSION NUMBER: 0001764417-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220808 DATE AS OF CHANGE: 20220808 EFFECTIVENESS DATE: 20220808 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Koios Medical, Inc. CENTRAL INDEX KEY: 0001764417 IRS NUMBER: 451545451 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-455227 FILM NUMBER: 221143896 BUSINESS ADDRESS: STREET 1: 242 W. 38TH STREET CITY: NEW YORK STATE: NY ZIP: 10018 BUSINESS PHONE: 732-529-5755 MAIL ADDRESS: STREET 1: 242 W. 38TH STREET CITY: NEW YORK STATE: NY ZIP: 10018 D 1 primary_doc.xml X0708 D LIVE 0001764417 Koios Medical, Inc. 242 W. 38TH STREET NEW YORK NY NEW YORK 10018 732-529-5755 DELAWARE Clearview Diagnostics, Inc. None Corporation true Graham Anderson 242 W. 38th Street 14th Floor New York NY NEW YORK 10018 Executive Officer Promoter Robert Chad McClennan 242 W. 38th Street 14th Floor New York NY NEW YORK 10018 Executive Officer Promoter William E. Peterson 12500 Fair Lakes Circle Suite 400 Fairfax VA VIRGINIA 22033 Director Gregory Moran 111 Liberty Street Suite 102 Columbus OH OHIO 43215 Director Mark Glasgold 4390 US-1 #100 Princeton NJ NEW JERSEY 08540 Director Other Health Care Decline to Disclose 06b false 2021-11-16 false true true Convertible Note false 25000 5000000 2598156 2401844 false 25 0 0 0 false Koios Medical, Inc. /s/ Graham Anderson Graham Anderson Chief Financial Officer 2022-08-08