0001639137-17-000003.txt : 20171211 0001639137-17-000003.hdr.sgml : 20171211 20171211171010 ACCESSION NUMBER: 0001639137-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171211 DATE AS OF CHANGE: 20171211 EFFECTIVENESS DATE: 20171211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Eximis Surgical Inc. CENTRAL INDEX KEY: 0001639137 IRS NUMBER: 471032711 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-300455 FILM NUMBER: 171250206 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 FORMER COMPANY: FORMER CONFORMED NAME: Eximis Surgical LLC DATE OF NAME CHANGE: 20150409 D 1 primary_doc.xml X0708 D LIVE 0001639137 Eximis Surgical Inc. 315 W. SOUTH BOULDER RD., SUITE 110 LOUISVILLE CO COLORADO 80027 (303) 532-7138 DELAWARE Eximis Surgical LLC Corporation true 2014 Kristin Johnson 315 W. South Boulder Rd., Ste 110 Louisville CO COLORADO 80027 Executive Officer Director Promoter Michael Blomeyer 315 W. South Boulder Rd., Ste 110 Louisville CO COLORADO 80027 Director Donna Ford-Serbu 315 W. South Boulder Rd., Ste 110 Louisville CO COLORADO 80027 Director Promoter William Gregg 315 W. South Boulder Rd., Ste 110 Louisville CO COLORADO 80027 Director Promoter Other Health Care Decline to Disclose 06b false 2017-12-01 false true false 0 1249998 1249998 0 false 5 0 0 0 false Eximis Surgical Inc. /s/Kristin Johnson Kristin Johnson Chief Executive Officer 2017-12-11