Form D Raw Data - Electronic Filing Depository

EFDID: 316761EFD: Raw Data

Issuer: Potrero Medical, Inc. (0001609048) - D

Accession: 0001609048-19-000001 () (EDGAR Files) (Form D)

Edgar Posted: Jul. 12, 2019
EFD Posted: Jul. 12, 2019

- < edgarSubmission >

< schemaVersion > X0708 </ schemaVersion >

< submissionType > D </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001609048 </ cik >

< entityName > Potrero Medical, Inc. </ entityName >

- < issuerAddress >

< street1 > 26142 Eden Landing Road </ street1 >

< city > Hayward </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94545 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 415-926-8616 </ issuerPhoneNumber >

< jurisdictionOfInc > DELAWARE </ jurisdictionOfInc >

- < edgarPreviousNameList >

< previousName > Consano Medical, Inc. </ previousName >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

- < yearOfInc >

< overFiveYears > true </ overFiveYears >

</ yearOfInc >

</ primaryIssuer >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Daniel </ firstName >

< lastName > Burnett </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Potrero Medical, Inc. </ street1 >

< street2 > 26142 Eden Landing Road </ street2 >

< city > Hayward </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94545 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Alan </ firstName >

< lastName > Chesler </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Potrero Medical, Inc. </ street1 >

< street2 > 26142 Eden Landing Road </ street2 >

< city > Hayward </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94545 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Carter </ firstName >

< lastName > Meyer </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Potrero Medical, Inc. </ street1 >

< street2 > 26142 Eden Landing Road </ street2 >

< city > Hayward </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94545 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Frederic </ firstName >

< middleName > H. </ middleName >

< lastName > Moll </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Potrero Medical, Inc. </ street1 >

< street2 > 26142 Eden Landing Road </ street2 >

< city > Hayward </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94545 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Jay </ firstName >

< lastName > Watkins </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Potrero Medical, Inc. </ street1 >

< street2 > 26142 Eden Landing Road </ street2 >

< city > Hayward </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94545 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Joe </ firstName >

< lastName > Urban </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Potrero Medical, Inc. </ street1 >

< street2 > 26142 Eden Landing Road </ street2 >

< city > Hayward </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94545 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Biotechnology </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06b </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > false </ isAmendment >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2019-06-28 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isEquityType > true </ isEquityType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 1 </ minimumInvestmentAccepted >

< salesCompensationList />

- < offeringSalesAmounts >

< totalOfferingAmount > 14999999 </ totalOfferingAmount >

< totalAmountSold > 11742968 </ totalAmountSold >

< totalRemaining > 3257031 </ totalRemaining >

< clarificationOfResponse />

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 20 </ 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 > Potrero Medical, Inc. </ issuerName >

< signatureName > /s/ Joseph Urban </ signatureName >

< nameOfSigner > Joseph Urban </ nameOfSigner >

< signatureTitle > President and CEO </ signatureTitle >

< signatureDate > 2019-07-12 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >