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