# EDGAR Filing Document

**Accession Number:** 0001479362
**File Stem:** 0001213900-25-064706
**Filing Date:** 2025-7
**Character Count:** 2891
**Document Hash:** 8e90d0e80d374f9508e1126783fc4a34
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001213900-25-064706.hdr.sgml**: 20250716

**ACCESSION NUMBER**: 0001213900-25-064706

**CONFORMED SUBMISSION TYPE**: 15-15D

**PUBLIC DOCUMENT COUNT**: 1

**FILED AS OF DATE**: 20250716

**DATE AS OF CHANGE**: 20250716

**EFFECTIVENESS DATE**: 20250716

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** PROFUSA, Inc. /OLD
- **CENTRAL INDEX KEY:** 0001479362
- **STANDARD INDUSTRIAL CLASSIFICATION:** BLANK CHECKS [6770]
- **ORGANIZATION NAME:** 05 Real Estate & Construction
- **EIN:** 264589529
- **STATE OF INCORPORATION:** CA
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 15-15D
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 333-269417-01
- **FILM NUMBER:** 251127745

**BUSINESS ADDRESS:**
- **STREET 1:** 345 ALLERTON AVE.
- **CITY:** SOUTH SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94080
- **BUSINESS PHONE:** (925) 997-6925

**MAIL ADDRESS:**
- **STREET 1:** 345 ALLERTON AVE.
- **CITY:** SOUTH SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94080

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** PROFUSA, Inc.
- **DATE OF NAME CHANGE:** 20130906

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** Profusa, Inc.
- **DATE OF NAME CHANGE:** 20091223

**UNITED STATES**

**SECURITIES AND EXCHANGE COMMISSION**

**Washington, D.C. 20549**

**FORM 15**

**CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION**

**UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934**

**OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d)**

**OF THE SECURITIES EXCHANGE ACT OF 1934**

Commission File Number: **333-269417-01**

**Profusa, Inc.**

(Exact name of registrant as specified in its charter)

**626 Bancroft Way, Suite A, Berkeley, CA 94710**

**(925) 997-6925**

(Address, including zip code, and telephone number, including area code, of registrant's principal executive offices)

**Common shares, par value $0.0001 per share**

(Title of each class of securities covered by this Form)

**None**

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

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| | |
|:---|:---|
| Rule 12g-4(a)(1) | ☒ |
| Rule 12g-4(a)(2) | ☐ |
| Rule 12h-3(b)(1)(i) | ☒ |
| Rule 12h-3(b)(1)(ii) | ☐ |
| Rule 15d-6 | ☐ |
| Rule 15d-22(b) | ☐ |

---

Approximate number of holders of record as of the certification or notice date: **One**

Pursuant to the requirements of the Securities Exchange Act of 1934, Profusa, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

---

| | | |
|:---|:---|:---|
| | **Profusa, Inc.** | **Profusa, Inc.** |
| Date: July 16, 2025 |  |  |
|  | By: | */s/ Ben Hwang* |
|  | Name: | Ben Hwang |
|  | Title: | Chief Executive Officer |

---