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Securisyn Medical, LLC – ‘C-TR’ on 3/25/24

On:  Monday, 3/25/24, at 3:51pm ET   ·   Accession #:  1511538-24-1   ·   File #:  20-31218

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  As Of               Filer                 Filing    For·On·As Docs:Size

 3/25/24  Securisyn Medical, LLC            C-TR                   1:4K

Termination of Reporting   —   Form C-TR   —   Regulation Crowdfunding

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: C-TR        Termination of Reporting -- primary_doc.xml         HTML      5K 




        

This ‘C-TR’ Document is an XML Data File that may be rendered in various formats:

  Form C    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Termination of Reporting
 
schemaVersion:

Form C: Filer Information

Filer CIK:
0001511538 
Filer CCC:
XXXXXXXX 
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Submission Contact Information

Name:
 
Phone Number:
 
Contact E-Mail Address:
 
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Form C: Issuer Information

Issuer Information

Name of Issuer:

Securisyn Medical, LLC 

Legal Status of Issuer:

Form:

Limited Liability Company 

Jurisdiction of Incorporation/Organization:

COLORADO  

Date of Incorporation/Organization:

1/3/11 

Physical Address of Issuer:

Address 1:

9609 S. UNIVERSITY BLVD 

Address 2:

#631010 

City:

LITTLETON 

State/Country:

COLORADO  

Mailing Zip/Postal Code:

80163 

Website of Issuer:

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

Securisyn Medical, LLC 

Signature:

Mark Bruning 

Title:

President and Chief Executive Officer 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Elyse Blazevich 

Title:

Manager 

Date:

3/25/24 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Mark Bruning 

Title:

Manager 

Date:

3/25/24 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Arthur Kanowitz 

Title:

Manager 

Date:

3/25/24 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Bruno Darre 

Title:

Manager 

Date:

3/25/24 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Troy Noem 

Title:

Manager 

Date:

3/25/24 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Gary Lauterbach 

Title:

Manager 

Date:

3/25/24 


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