0001708864-17-000004.txt : 20170622 0001708864-17-000004.hdr.sgml : 20170622 20170621180243 ACCESSION NUMBER: 0001708864-17-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170622 DATE AS OF CHANGE: 20170621 EFFECTIVENESS DATE: 20170622 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NEUROGAMI MEDICAL, INC. CENTRAL INDEX KEY: 0001708864 IRS NUMBER: 474342178 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-289212 FILM NUMBER: 17923659 BUSINESS ADDRESS: STREET 1: 897 INDEPENDENCE AVENUE STREET 2: UNIT 2A CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650-424-1799 MAIL ADDRESS: STREET 1: 897 INDEPENDENCE AVENUE STREET 2: UNIT 2A CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 D 1 primary_doc.xml X0707 D LIVE 0001708864 NEUROGAMI MEDICAL, INC. 897 INDEPENDENCE AVENUE UNIT 2A MOUNTAIN VIEW CA CALIFORNIA 94043 650-424-1799 CALIFORNIA None None Corporation true 2015 Bart Bojanowski 897 Independence Ave. Unit 2A Mountain View CA CALIFORNIA 94043 Executive Officer Director Steve Hebert 897 Independence Ave. Unit 2A Mountain View CA CALIFORNIA 94043 Executive Officer Director Other Health Care Decline to Disclose 06b false 2016-04-01 true true false 25000 400 400 0 false 4 0 0 0 true false NEUROGAMI MEDICAL, INC. Kurt Honnold Taylor Kurt H. Taylor Corporate Secretary 2017-06-21