0001639137-18-000001.txt : 20180302 0001639137-18-000001.hdr.sgml : 20180302 20180302170728 ACCESSION NUMBER: 0001639137-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180302 DATE AS OF CHANGE: 20180302 EFFECTIVENESS DATE: 20180302 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: 021-306879 FILM NUMBER: 18663132 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 Scott Hutton 315 W. South Boulder Rd., Ste 110 Louisville CO COLORADO 80027 Director Theodore Lamson 315 W. South Boulder Rd., Ste 110 Louisville CO COLORADO 80027 Director Other Health Care Decline to Disclose 06b false 2018-02-15 false true false 0 10228392 5148378 5080014 The total amount sold includes shares issued upon conversion of outstanding notes and the conversion of Series X Preferred Stock valued at $1,249,998 as previously reported to the SEC in a Form D filed on December 11, 2017. false 29 0 0 0 false Eximis Surgical Inc. /s/ Kristin Johnson Kristin Johnson Chief Executive Officer 2018-03-02