0001104659-21-130074.txt : 20211026
0001104659-21-130074.hdr.sgml : 20211026
20211026175051
ACCESSION NUMBER: 0001104659-21-130074
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211026
FILED AS OF DATE: 20211026
DATE AS OF CHANGE: 20211026
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BRUNK GERALD A
CENTRAL INDEX KEY: 0001380226
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40965
FILM NUMBER: 211349930
MAIL ADDRESS:
STREET 1: C/O MDS CAPITAL
STREET 2: 245 FIRST ST., STE 1800
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LAVA Medtech Acquisition Corp.
CENTRAL INDEX KEY: 0001855450
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 862973712
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 303 WYMAN ST STE 300
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 416.213.4223
MAIL ADDRESS:
STREET 1: 303 WYMAN ST STE 300
CITY: WALTHAM
STATE: MA
ZIP: 02451
3
1
tm2130876-4_3seq1.xml
OWNERSHIP DOCUMENT
X0206
3
2021-10-26
1
0001855450
LAVA Medtech Acquisition Corp.
LVAC
0001380226
BRUNK GERALD A
C/O LAVA MEDTECH ACQUISITION CORP.
303 WYMAN STREET, SUITE 300
WALTHAM
MA
02451
1
1
0
0
President
/s/ Gerry Brunk
2021-10-26