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