-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, B2hvs1+NvU0/ctQXAowYzmvWmfO3abMHTFVj6XntETuPDlKaJB9aZrXNjuN5+dHD rt2rqieCIuBv+oDhIealoQ== 0001298528-09-000005.txt : 20091001 0001298528-09-000005.hdr.sgml : 20091001 20091001163314 ACCESSION NUMBER: 0001298528-09-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20091001 DATE AS OF CHANGE: 20091001 EFFECTIVENESS DATE: 20091001 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Artielle ImmunoTherapeutics Inc CENTRAL INDEX KEY: 0001298528 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-67794 FILM NUMBER: 091099074 BUSINESS ADDRESS: STREET 1: 9020 SW WASHINGTON SQUARE RD STREET 2: SUITE 450 CITY: TIGARD STATE: OR ZIP: 97223 BUSINESS PHONE: 503-626-1144 MAIL ADDRESS: STREET 1: 9020 SW WASHINGTON SQUARE RD STREET 2: SUITE 450 CITY: TIGARD STATE: OR ZIP: 97223 FORMER COMPANY: FORMER CONFORMED NAME: Artielle Immuno Therapeutics Inc DATE OF NAME CHANGE: 20040726 D 1 primary_doc.xml X0603 D LIVE 0001298528 Artielle ImmunoTherapeutics Inc 9020 SW WASHINGTON SQUARE RD SUITE 450 TIGARD OR 97223 503-626-1144 DELAWARE Artielle Immuno Therapeutics Inc Corporation true Adolph J. Ferro 9020 SW Washington Square Road Ste 450 Tigard OR 94306 Executive Officer Director Gilbert N. Miller 9020 SW Washington Square Road Ste 450 Tigard OR 94306 Executive Officer Shahab Fatheazam 9020 SW Washington Square Road Ste 450 Tigard OR 94306 Director Peter McWilliams c/o Sanderling Ventures 400 South El Camino Real, Ste 1200 San Mateo CA 94402-1708 Director Paul Quadros c/o Tenex Greenhouse Ventures LLC 533 Airport Blvd., Ste 400 Burlingame CA 94010 Director Allan Wolfe c/o Utah Ventures, 2755 E. Cottonwood Parkway, Suite 520 Salt Lake City UT 84121 Director Biotechnology Decline to Disclose 06 false 2009-09-17 false true true true 1) Convertible Promissory Notes, the underlying shares of Preferred Stock and Commmon Stock issued on conversion thereof; 2) Common Stock Warrants and the underlying shares of Common Stock issuable upon exercise. false 0 750000 709828 40172 The aggregate fair market value of the Notes, if issued apart from the Warrants, is $750,000 and the aggregate fair market value of the Warrants, if issued apart from the Notes is $3,000. false 6 0 0 0 false Artielle ImmunoTherapeutics Inc /s/ Gilbert N. Miller Gilbert N. Miller Executive Vice President 2009-09-30 -----END PRIVACY-ENHANCED MESSAGE-----