# Providence Medical Technology, Inc. — Form D

Providence Medical Technology, Inc. of Walnut Creek, CA, a company, filed a Form D exempt-offering notice with the SEC on 2016-12-28. The offering totals $8.2M, of which $7.0M was reported sold. Industry: Other.

## Offering

- Filed: 2016-12-28
- Form: D
- Accession: 0001672926-16-000003
- Industry: Other
- Exemptions: 06b
- Total offering: $8.2M
- Amount sold: $7.0M
- Remaining: $1.2M
- Investors: 2
- Date of first sale: 2016-12-14
- Security types: equity
- Revenue range: Decline to Disclose
- SEC file number: 021-277153

## Issuer

- Name: Providence Medical Technology, Inc.
- CIK: 0001672926
- Entity type: Corporation
- Jurisdiction: CALIFORNIA
- Address: 1331 N. California Blvd., Walnut Creek, CA, 94596
- Phone: 415-425-4961

## Officers, directors & promoters (14)

| Name | Role | Location |
| --- | --- | --- |
| James D Hens | Director | Walnut Creek, CA |
| Bruce D McCormack | Director | Walnut Creek, CA |
| Bruce McCormack, MD | Director | Walnut Creek, CA |
| JEFFREY D SMITH | Director | VANCOUVER, A1 |
| Arthur D Taylor | Director | Walnut Creek, CA |
| Evan D Ng | Executive Officer | Palo Alto, CA |
| JEFFREY D SMITH | Executive Officer | VANCOUVER, A1 |
| James M Hens | Director | Walnut Creek, CA |
| Bruce M McCormack, MD | Director | Walnut Creek, CA |
| Bruce M McCormack, MD | Executive Officer | Walnut Creek, CA |
| David M Cash | Director | Walnut Creek, CA |
| Arthur T Taylor | Director | Walnut Creek, CA |
| Evan M Ng | Executive Officer | Palo Alto, CA |
| Ronald M Thomas | Director | Walnut Creek, CA |

## Other filings by this issuer (2)

| Filed | Form | Offering | Sold |
| --- | --- | --- | --- |
| [2016-10-17](https://search.stillhousedata.com/formd/0001672926-16-000002) | D/A | $8.0M | $3.7M |
| [2016-04-26](https://search.stillhousedata.com/formd/0001672926-16-000001) | D | $3.5M | $2.9M |

## More

- [CIK 1672926 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1672926&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001672926-16-000003.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

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