0001280776-11-000005.txt : 20110623 0001280776-11-000005.hdr.sgml : 20110623 20110622192154 ACCESSION NUMBER: 0001280776-11-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 ITEM INFORMATION: Securities Act Section 4(6) FILED AS OF DATE: 20110623 DATE AS OF CHANGE: 20110622 EFFECTIVENESS DATE: 20110623 FILER: COMPANY DATA: COMPANY CONFORMED NAME: VITAL THERAPIES INC CENTRAL INDEX KEY: 0001280776 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-161700 FILM NUMBER: 11926501 BUSINESS ADDRESS: STREET 1: 15222 AVENUE OF SCIENCE, SUITE B CITY: SAN DIEGO STATE: CA ZIP: 92128 BUSINESS PHONE: 858-673-6840 MAIL ADDRESS: STREET 1: 15222 AVENUE OF SCIENCE, SUITE B CITY: SAN DIEGO STATE: CA ZIP: 92128 D 1 primary_doc.xml X0704 D LIVE 0001280776 VITAL THERAPIES INC 15222 AVENUE OF SCIENCE, SUITE B SAN DIEGO CA CALIFORNIA 92128 858-673-6840 DELAWARE None None Corporation true Terry Winters 15222 Avenue of Science, Suite B San Diego CA CALIFORNIA 92128 Executive Officer Director Charles Liamos 15222 Avenue of Science, Suite B San Diego CA CALIFORNIA 9218 Director J. Michael Millis 15222 Avenue of Science, Suite B San Diego CA CALIFORNIA 92128 Director Ross A. Jaffe 15222 Avenue of Science, Suite B San Diego CA CALIFORNIA 92128 Director Phillip Croxford 15222 Avenue of Science, Suite B San Diego CA CALIFORNIA 92128 Director Randolph Steer 15222 Avenue of Science, Suite B San Diego CA CALIFORNIA 92128 Director Aron Stern 15222 Avenue of Science, Suite B San Diego CA CALIFORNIA 92128 Executive Officer Robert Ashley 15222 Avenue of Science, Suite B San Diego CA CALIFORNIA 92128 Executive Officer Biotechnology Decline to Disclose 06 46 false 2011-05-19 true true true true false 1000 56860223 22617179 34243044 Includes up to $31,243,044 of Series D Preferred some of which is being issued with Series D Warrants and up to $25,617,179 of Series D Preferred issuable upon exercise of Series D Warrants. false 51 0 0 0 false VITAL THERAPIES INC Aron Stern Aron Stern Chief Financial Officer 2011-06-22