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