0001733615-19-000001.txt : 20191216 0001733615-19-000001.hdr.sgml : 20191216 20191216142654 ACCESSION NUMBER: 0001733615-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191216 DATE AS OF CHANGE: 20191216 EFFECTIVENESS DATE: 20191216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Triple Endoscopy, Inc. CENTRAL INDEX KEY: 0001733615 IRS NUMBER: 822730022 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-355587 FILM NUMBER: 191286724 BUSINESS ADDRESS: STREET 1: 6062 S. EMPORIA CIRCLE CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 5034775748 MAIL ADDRESS: STREET 1: 6062 S. EMPORIA CIRCLE CITY: ENGLEWOOD STATE: CO ZIP: 80111 D 1 primary_doc.xml X0708 D LIVE 0001733615 Triple Endoscopy, Inc. 6062 S. EMPORIA CIRCLE ENGLEWOOD CO COLORADO 80111 5034775748 DELAWARE None None Corporation true 2017 Joel Friedlander 6062 S. Emporia Circle Englewood CO COLORADO 80111 Executive Officer Director President and Director Emily DeBoer 116 South Ogden Street Denver CO COLORADO 80209 Director Robin Deterding 7471 Brockway Boulder CO COLORADO 80303 Executive Officer Director Vice President and Director Jeremy Prager 10886 East Crestline Place Englewood CO COLORADO 80111 Director Jeff Harrington 13123 East 16th Avenue Aurora CO COLORADO 80045 Director Other Health Care Decline to Disclose 06b false 2019-12-06 false true true false 0 2500000 1950000 550000 false 5 0 0 0 false Triple Endoscopy, Inc. Joel Friedlander Joel Friedlander President 2019-12-16