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