Form D Raw Data - Electronic Filing Depository

EFDID: 265090EFD: Raw Data

Issuer: Ambient Clinical Analytics, Inc. (0001597172) - D

Accession: 0001209191-18-033692 () (EDGAR Files) (Form D)

Edgar Posted: May. 29, 2018
EFD Posted: May. 29, 2018

- < edgarSubmission >

< schemaVersion > X0708 </ schemaVersion >

< submissionType > D </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001597172 </ cik >

< entityName > Ambient Clinical Analytics, Inc. </ entityName >

- < issuerAddress >

< street1 > 221 FIRST AVENUE SW </ street1 >

< street2 > SUITE 202 </ street2 >

< city > ROCHESTER </ city >

< stateOrCountry > MN </ stateOrCountry >

< stateOrCountryDescription > MINNESOTA </ stateOrCountryDescription >

< zipCode > 55902 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 507-261-0513 </ issuerPhoneNumber >

< jurisdictionOfInc > DELAWARE </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2013 </ value >

</ yearOfInc >

</ primaryIssuer >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Allen </ firstName >

< middleName > J. </ middleName >

< lastName > Berning </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 221 First Avenue SW </ street1 >

< street2 > Suite 202 </ street2 >

< city > Rochester </ city >

< stateOrCountry > MN </ stateOrCountry >

< stateOrCountryDescription > MINNESOTA </ stateOrCountryDescription >

< zipCode > 55902 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

< relationship > Promoter </ relationship >

</ relatedPersonRelationshipList >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Greg </ firstName >

< middleName > S. </ middleName >

< lastName > Lea </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 221 First Avenue SW </ street1 >

< street2 > Suite 202 </ street2 >

< city > Rochester </ city >

< stateOrCountry > MN </ stateOrCountry >

< stateOrCountryDescription > MINNESOTA </ stateOrCountryDescription >

< zipCode > 55902 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Brian </ firstName >

< middleName > W. </ middleName >

< lastName > Pickering </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 221 First Avenue SW </ street1 >

< street2 > Suite 202 </ street2 >

< city > Rochester </ city >

< stateOrCountry > MN </ stateOrCountry >

< stateOrCountryDescription > MINNESOTA </ stateOrCountryDescription >

< zipCode > 55902 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Robert </ firstName >

< middleName > M. </ middleName >

< lastName > Greenglass </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 44 Brattle Street </ street1 >

< city > Cambridge </ city >

< stateOrCountry > MA </ stateOrCountry >

< stateOrCountryDescription > MASSACHUSETTS </ stateOrCountryDescription >

< zipCode > 02138 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Tyler </ firstName >

< lastName > Stowater </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 101 South Phillips Avenue </ street1 >

< street2 > Suite 501 </ street2 >

< city > Sioux Falls </ city >

< stateOrCountry > SD </ stateOrCountry >

< stateOrCountryDescription > SOUTH DAKOTA </ stateOrCountryDescription >

< zipCode > 57104 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Other Health Care </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06b </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > false </ isAmendment >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2018-05-14 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isEquityType > true </ isEquityType >

< isOptionToAcquireType > true </ isOptionToAcquireType >

< isOtherType > true </ isOtherType >

< descriptionOfOtherType > Series A Convertible Preferred Stock </ descriptionOfOtherType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 0 </ minimumInvestmentAccepted >

< salesCompensationList />

- < offeringSalesAmounts >

< totalOfferingAmount > 1500000 </ totalOfferingAmount >

< totalAmountSold > 1100000 </ totalAmountSold >

< totalRemaining > 400000 </ totalRemaining >

< clarificationOfResponse > Non-U.S. sales are included in offering and sales amounts. </ clarificationOfResponse >

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 3 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 0 </ dollarAmount >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse />

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

< clarificationOfResponse />

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > false </ authorizedRepresentative >

- < signature >

< issuerName > Ambient Clinical Analytics, Inc. </ issuerName >

< signatureName > /s/ Allen J. Berning </ signatureName >

< nameOfSigner > Allen J. Berning </ nameOfSigner >

< signatureTitle > President and Chief Executive Officer </ signatureTitle >

< signatureDate > 2018-05-29 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >