0001402296-13-000003.txt : 20131031 0001402296-13-000003.hdr.sgml : 20131031 20131030184523 ACCESSION NUMBER: 0001402296-13-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131031 DATE AS OF CHANGE: 20131030 EFFECTIVENESS DATE: 20131031 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PaxVax Inc CENTRAL INDEX KEY: 0001402296 IRS NUMBER: 113780505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-205538 FILM NUMBER: 131180408 BUSINESS ADDRESS: STREET 1: 3985A SORRENTO VALLEY BOULEVARD CITY: SAN DIEGO STATE: ca ZIP: 92121 BUSINESS PHONE: 858-450-9595 MAIL ADDRESS: STREET 1: 3985A SORRENTO VALLEY BOULEVARD CITY: SAN DIEGO STATE: ca ZIP: 92121 D 1 primary_doc.xml X0707 D LIVE 0001402296 PaxVax Inc 3985A SORRENTO VALLEY BOULEVARD SAN DIEGO CA CALIFORNIA 92121 858-450-9595 DELAWARE None None Corporation true Kenneth J. Kelley c/o PaxVax, Inc. 3985A Sorrento Valley Boulevard San Diego CA CALIFORNIA 92121 Executive Officer Director Henry G. Coit, Jr. c/o PaxVax, Inc. 3985A Sorrento Valley Boulevard San Diego CA CALIFORNIA 92121 Director Howard B. Rosen c/o PaxVax, Inc. 3985A Sorrento Valley Boulevard San Diego CA CALIFORNIA 92121 Director Richard Tong c/o PaxVax, Inc. 3985A Sorrento Valley Boulevard San Diego CA CALIFORNIA 92121 Director Phil Russell c/o PaxVax, Inc. 3985A Sorrento Valley Boulevard San Diego CA CALIFORNIA 92121 Director Pharmaceuticals Decline to Disclose 06b false 2013-10-17 false true true Securities offered consist of promissory notes. false 0 3000000 2500000 500000 false 2 0 0 0 false PaxVax Inc /s/ Kenneth Kelley Kenneth Kelley Chief Executive Officer 2013-10-30