0001168404-16-000044.txt : 20161201 0001168404-16-000044.hdr.sgml : 20161201 20161201153744 ACCESSION NUMBER: 0001168404-16-000044 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161201 DATE AS OF CHANGE: 20161201 EFFECTIVENESS DATE: 20161201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IMPEL NEUROPHARMA INC CENTRAL INDEX KEY: 0001445499 IRS NUMBER: 263058238 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-275488 FILM NUMBER: 162028163 BUSINESS ADDRESS: STREET 1: 915 EAST PINE ST STREET 2: SUITE 401 CITY: SEATTLE STATE: WA ZIP: 98122 BUSINESS PHONE: 206-568-1466 MAIL ADDRESS: STREET 1: 915 EAST PINE ST STREET 2: SUITE 401 CITY: SEATTLE STATE: WA ZIP: 98122 D 1 primary_doc.xml X0707 D LIVE 0001445499 IMPEL NEUROPHARMA INC 915 EAST PINE ST SUITE 401 SEATTLE WA WASHINGTON 98122 206-568-1466 DELAWARE None None Corporation true John D. Hoekman c/o Impel NeuroPharma, Inc. 915 East Pine St., Suite 401 Seattle WA WASHINGTON 98122 Executive Officer Director Stewart Parker c/o Impel NeuroPharma, Inc. 915 East Pine St., Suite 401 Seattle WA WASHINGTON 98122 Director Aaron Royston c/o Impel NeuroPharma, Inc. 915 East Pine St., Suite 401 Seattle WA WASHINGTON 98122 Director Mahendra Shah c/o Impel NeuroPharma, Inc. 915 East Pine St., Suite 401 Seattle WA WASHINGTON 98122 Director Jim Young c/o Impel NeuroPharma, Inc. 915 East Pine St., Suite 401 Seattle WA WASHINGTON 98122 Director Other Health Care Decline to Disclose 06b false 2016-11-16 false true false 0 Kevin Cable 480071 Cascadia Capital, LLC 101020 1000 2nd Ave., Suite 120 Seattle WA WASHINGTON 98104 CA CALIFORNIA CT CONNECTICUT DC DISTRICT OF COLUMBIA FL FLORIDA GA GEORGIA IL ILLINOIS IN INDIANA MD MARYLAND MA MASSACHUSETTS MI MICHIGAN MN MINNESOTA MO MISSOURI NJ NEW JERSEY NY NEW YORK OH OHIO PA PENNSYLVANIA WA WASHINGTON false 37300000 22297064 15002936 false 10 1000000 2498 0 false IMPEL NEUROPHARMA INC /s/ JOHN HOEKMAN John Hoekman President and CEO 2016-11-30