0000929638-24-002548.txt : 20240722
0000929638-24-002548.hdr.sgml : 20240722
20240722094118
ACCESSION NUMBER: 0000929638-24-002548
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20240722
DATE AS OF CHANGE: 20240722
EFFECTIVENESS DATE: 20240722
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lazzaro Medical, Inc.
CENTRAL INDEX KEY: 0002014886
ORGANIZATION NAME:
IRS NUMBER: 834593992
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-519356
FILM NUMBER: 241130010
BUSINESS ADDRESS:
STREET 1: 1215 SPRUCE STREET
CITY: BOULDER
STATE: CO
ZIP: 80302
BUSINESS PHONE: 866-672-2800
MAIL ADDRESS:
STREET 1: 1215 SPRUCE STREET
CITY: BOULDER
STATE: CO
ZIP: 80302
D
1
primary_doc.xml
X0708
D
LIVE
0002014886
Lazzaro Medical, Inc.
1215 SPRUCE STREET
BOULDER
CO
COLORADO
80302
866-672-2800
DELAWARE
None
None
Corporation
true
2019
Robert
A.
Israel
c/o Lazzaro Medical, Inc.
1215 Spruce Stree
Boulder
CO
COLORADO
80302
Director
Executive Officer
Promoter
Mr. Israel is the Co-Founder, Chairman of the Board of Directors and the Chief Development Officer of the Issuer.
Richard
S.
Lazzaro, M.D.
c/o Lazzaro Medical, Inc.
1215 Spruce Street
Boulder
CO
COLORADO
80302
Director
Executive Officer
Promoter
Dr. Lazzaro is the Co-Founder and the Chief Medical Officer of the Issuer.
D.
Dawn
Bitz
c/o Lazzaro Medical, Inc.
1215 Spruce Street
Boulder
CO
COLORADO
80302
Executive Officer
Ms. Bitz is the President of the Issuer.
Robert
J.
Wiesenberg
c/o Lazzaro Medical, Inc.
1215 Spruce Street
Boulder
CO
COLORADO
80302
Executive Officer
Mr. Wiesenberg is the Chief Operating Officer of the Issuer.
James
R.
Polsen
c/o Lazzaro Medical, Inc.
1215 Spruce Street
Boulder
CO
COLORADO
80302
Executive Officer
Mr. Polsen is the Treasurer and Chief Financial Officer of the Issuer.
Ryan
G.
Redford
c/o Lazzaro Medical, Inc.
1215 Spruce Street
Boulder
CO
COLORADO
80302
Executive Officer
Mr. Redford is the Chief Technology Officer of the Issuer.
Frederick
J.
Onorato
c/o Lazzaro Medical, Inc.
1215 Spruce Street
Boulder
CO
COLORADO
80302
Executive Officer
Mr. Onorato is the Secretary of the Issuer.
Biotechnology
Decline to Disclose
- 06b
false
2022-02-09
true
true
true
true
true
Simple Agreement for Future Equity; Convertible Promissory Notes
false
0
7520000
4920000
2600000
false
14
0
0
0
false
Lazzaro Medical, Inc.
/s/ James Polsen
James Polsen
Chief Financial Officer of the Issuer
2024-07-19