0001235802-21-000062.txt : 20210624 0001235802-21-000062.hdr.sgml : 20210624 20210624165812 ACCESSION NUMBER: 0001235802-21-000062 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210615 FILED AS OF DATE: 20210624 DATE AS OF CHANGE: 20210624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLACKFORD GARY CENTRAL INDEX KEY: 0001156320 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37897 FILM NUMBER: 211043541 MAIL ADDRESS: STREET 1: 7700 FRANCE AVENUE SOUTH CITY: EDINA STATE: MN ZIP: 55435 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ReShape Lifesciences Inc. CENTRAL INDEX KEY: 0001427570 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1001 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 949-429-6680 MAIL ADDRESS: STREET 1: 1001 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 FORMER COMPANY: FORMER CONFORMED NAME: OBALON THERAPEUTICS INC DATE OF NAME CHANGE: 20080220 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2021-06-15 1 0001427570 ReShape Lifesciences Inc. RSLS 0001156320 BLACKFORD GARY 1001 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 /s/ Gary D. Blackford 2021-06-24