0001094891-18-000021.txt : 20180103
0001094891-18-000021.hdr.sgml : 20180103
20180103173608
ACCESSION NUMBER: 0001094891-18-000021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171221
FILED AS OF DATE: 20180103
DATE AS OF CHANGE: 20180103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DeGuzman Brian J.
CENTRAL INDEX KEY: 0001664813
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37685
FILM NUMBER: 18506978
MAIL ADDRESS:
STREET 1: 420 LEXINGTON AVENUE
STREET 2: SUITE 300
CITY: NEW YORK
STATE: NY
ZIP: 10170
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PAVmed Inc.
CENTRAL INDEX KEY: 0001624326
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 471214177
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: ONE GRAND CENTRAL PLACE
STREET 2: SUITE 4600
CITY: NEW YORK
STATE: NY
ZIP: 10165
BUSINESS PHONE: 212-949-4319
MAIL ADDRESS:
STREET 1: ONE GRAND CENTRAL PLACE
STREET 2: SUITE 4600
CITY: NEW YORK
STATE: NY
ZIP: 10165
FORMER COMPANY:
FORMER CONFORMED NAME: PAXmed Inc.
DATE OF NAME CHANGE: 20141105
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2017-12-21
0001624326
PAVmed Inc.
PAVM
0001664813
DeGuzman Brian J.
420 LEXINGTON AVENUE
SUITE 300
NEW YORK
NY
10170
0
1
0
0
Chief Medical Officer
Common Stock
2017-12-21
4
J
0
645346
0
A
645346
I
By trust
Common Stock
2017-12-21
4
J
0
645346
0
D
0
I
By trust
Pro rata distribution from HCFP/Capital Partners III LLC, of which the trust is a non-managing member.
Contribution to Pavilion Venture Partners LLC, of which the trust is a non-managing member.
/s/ Brian J. deGuzman, M.D.
2018-01-03