0001639137-23-000001.txt : 20230424 0001639137-23-000001.hdr.sgml : 20230424 20230424131754 ACCESSION NUMBER: 0001639137-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230424 DATE AS OF CHANGE: 20230424 EFFECTIVENESS DATE: 20230424 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: 021-479792 FILM NUMBER: 23839010 BUSINESS ADDRESS: STREET 1: 1772 PRAIRIE WAY, UNIT E CITY: LOUISVILLE STATE: CO ZIP: 80027 BUSINESS PHONE: (720) 890-1111 MAIL ADDRESS: STREET 1: 1772 PRAIRIE WAY, UNIT E 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. 1772 PRAIRIE WAY, UNIT E LOUISVILLE CO COLORADO 80027 (720) 890-1111 DELAWARE Eximis Surgical LLC Corporation true Donna Ford-Serbu 1772 PRAIRIE WAY, UNIT E LOUISVILLE CO COLORADO 80027 Executive Officer Director Kristin Johnson 1772 PRAIRIE WAY, UNIT E LOUISVILLE CO COLORADO 80027 Executive Officer Brian Butler 1772 PRAIRIE WAY, UNIT E LOUISVILLE CO COLORADO 80027 Director Scott Button 1772 PRAIRIE WAY, UNIT E LOUISVILLE CO COLORADO 80027 Director Ryan Drant 1772 PRAIRIE WAY, UNIT E LOUISVILLE CO COLORADO 80027 Director Scott Hutton 1772 PRAIRIE WAY, UNIT E LOUISVILLE CO COLORADO 80027 Director Theodore Lamson 1772 PRAIRIE WAY, UNIT E LOUISVILLE CO COLORADO 80027 Director Other Health Care Decline to Disclose 06b false 2023-03-21 false true false 0 8742615 8742615 0 false 12 0 0 0 false Eximis Surgical Inc. /s/ Donna Ford-Serbu Donna Ford-Serbu Chief Executive Officer 2023-04-24