0001874628-22-000001.txt : 20220323 0001874628-22-000001.hdr.sgml : 20220323 20220323102306 ACCESSION NUMBER: 0001874628-22-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220323 DATE AS OF CHANGE: 20220323 EFFECTIVENESS DATE: 20220323 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IrisVision, Inc CENTRAL INDEX KEY: 0001874628 IRS NUMBER: 822354891 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-413155 FILM NUMBER: 22761904 BUSINESS ADDRESS: STREET 1: 5994 WEST LAS POSITAS BLVD STREET 2: SUITE 219 CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 650-248-8056 MAIL ADDRESS: STREET 1: 5994 WEST LAS POSITAS BLVD STREET 2: SUITE 219 CITY: PLEASANTON STATE: CA ZIP: 94588 FORMER COMPANY: FORMER CONFORMED NAME: IrisVision Inc DATE OF NAME CHANGE: 20210722 D/A 1 primary_doc.xml X0708 D/A LIVE 0001874628 IrisVision, Inc 5994 WEST LAS POSITAS BLVD SUITE 219 PLEASANTON CA CALIFORNIA 94588 650-248-8056 DELAWARE IrisVision Inc Corporation true 2017 Ammad Khan 5994 West Las Positas Blvd Suite 219 Pleasanton CA CALIFORNIA 94588 Executive Officer Director Narendra Mulani 5994 West Las Positas Blvd Suite 219 Pleasanton CA CALIFORNIA 94588 Director Frank Werblin 5994 West Las Positas Blvd Suite 219 Pleasanton CA CALIFORNIA 94588 Director Larry Leisure 5994 West Las Positas Blvd Suite 219 Pleasanton CA CALIFORNIA 94588 Director Syed Faiz Ahmad 5994 West Las Positas Blvd Suite 219 Pleasanton CA CALIFORNIA 94588 Director Other Decline to Disclose 06b true 0001874628-21-000002 2021-09-09 false true false 0 21408769 11658797 9749972 Series A and Series A-1 Preferred Stock; Common Stock issuable upon conversion false 29 0 0 0 false IrisVision, Inc /s/Ammad Khan Ammad Khan President and CEO 2022-03-20