0001639137-16-000006.txt : 20161102
0001639137-16-000006.hdr.sgml : 20161102
20161102165915
ACCESSION NUMBER: 0001639137-16-000006
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20161102
DATE AS OF CHANGE: 20161102
EFFECTIVENESS DATE: 20161102
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Eximis Surgical LLC
CENTRAL INDEX KEY: 0001639137
IRS NUMBER: 471032711
STATE OF INCORPORATION: CO
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-273687
FILM NUMBER: 161968796
BUSINESS ADDRESS:
STREET 1: 315 W. SOUTH BOULDER RD., SUITE 110
CITY: LOUISVILLE
STATE: CO
ZIP: 80027
BUSINESS PHONE: (303) 532-7138
MAIL ADDRESS:
STREET 1: 315 W. SOUTH BOULDER RD., SUITE 110
CITY: LOUISVILLE
STATE: CO
ZIP: 80027
D
1
primary_doc.xml
X0707
D
LIVE
0001639137
Eximis Surgical LLC
315 W. SOUTH BOULDER RD., SUITE 110
LOUISVILLE
CO
COLORADO
80027
(303) 532-7138
COLORADO
None
None
Limited Liability Company
true
2014
Kristin
Johnson
315 W. South Boulder Rd.
Suite 100
Louisville
CO
COLORADO
80027
Director
Promoter
Manager/Founder
William
Gregg
315 W. South Boulder Rd.
Suite 100
Louisville
CO
COLORADO
80027
Director
Promoter
Manager/Founder
Dirk
Johnson
315 W. South Boulder Rd.
Suite 100
Louisville
CO
COLORADO
80027
Promoter
Founder
Donna
Ford-Serbu
315 W. South Boulder Rd.
Suite 100
Louisville
CO
COLORADO
80027
Director
Promoter
Manager/Founder
Other Health Care
Decline to Disclose
- 06b
false
2016-09-27
false
true
Convertible Promissory Notes and the equity securities issuable upon conversion of such notes.
false
0
2000000
633000
1367000
false
9
0
0
0
false
Eximis Surgical LLC
/s/ Kristin Johnson
Kristin Johnson
Managing Director
2016-11-02