0001582843-17-000002.txt : 20170322 0001582843-17-000002.hdr.sgml : 20170322 20170322143240 ACCESSION NUMBER: 0001582843-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170322 DATE AS OF CHANGE: 20170322 EFFECTIVENESS DATE: 20170322 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Certa Dose, Inc. CENTRAL INDEX KEY: 0001582843 IRS NUMBER: 463291747 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-283089 FILM NUMBER: 17706404 BUSINESS ADDRESS: STREET 1: 1350 LAWRENCE STREET STREET 2: SUITE 4D CITY: DENVER STATE: CO ZIP: 80204 BUSINESS PHONE: (210) 862-1376 MAIL ADDRESS: STREET 1: 1350 LAWRENCE STREET STREET 2: SUITE 4D CITY: DENVER STATE: CO ZIP: 80204 D 1 primary_doc.xml X0707 D LIVE 0001582843 Certa Dose, Inc. 1350 LAWRENCE STREET SUITE 4D DENVER CO COLORADO 80204 (210) 862-1376 DELAWARE None None Corporation true 2013 John Blood 1350 Lawrence Street Suite 4D Denver CO COLORADO 80204 Promoter Caleb Hernandez 1350 Lawrence Street Suite 4D Denver CO COLORADO 80204 Executive Officer Director Promoter Stephen R. Hoffenberg 1350 Lawrence Street Suite 4D Denver CO COLORADO 80204 Director Larry Miller 1350 Lawrence Street Suite 4D Denver CO COLORADO 80204 Executive Officer Director Eric Eisbrenner 1350 Lawrence Street Suite 4D Denver CO COLORADO 80204 Executive Officer Other Health Care Decline to Disclose 06b false 2017-03-07 false true true Convertible promissory notes convertible into equity securities of the Issuer and the equity securities to be acquired upon such conversion false 0 2000000 850000 1150000 false 4 0 0 0 false Certa Dose, Inc. Eric Eisbrenner Eric Eisbrenner Chief Financial Officer 2017-03-16