0001445499-11-000003.txt : 20110920 0001445499-11-000003.hdr.sgml : 20110920 20110919181350 ACCESSION NUMBER: 0001445499-11-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20110920 DATE AS OF CHANGE: 20110919 EFFECTIVENESS DATE: 20110920 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: 021-166071 FILM NUMBER: 111098156 BUSINESS ADDRESS: STREET 1: 720 BROADWAY AVE. STREET 2: SUITE 413 CITY: SEATTLE STATE: WA ZIP: 98122 BUSINESS PHONE: 408-966-9981 MAIL ADDRESS: STREET 1: 720 BROADWAY AVE. STREET 2: SUITE 413 CITY: SEATTLE STATE: WA ZIP: 98122 D 1 primary_doc.xml X0704 D LIVE 0001445499 IMPEL NEUROPHARMA INC 720 BROADWAY AVE. SUITE 413 SEATTLE WA WASHINGTON 98122 408-966-9981 DELAWARE None None Corporation true 2008 Michael P. Hite c/o Impel NeuroPharma, Inc. 720 Broadway Ave., Suite 413 Seattle WA WASHINGTON 98122 Executive Officer Director John D. Hoekman c/o Impel NeuroPharma, Inc. 720 Broadway Ave., Suite 413 Seattle WA WASHINGTON 98122 Executive Officer Director Rodney Ho c/o Impel NeuroPharma, Inc. 720 Broadway Ave., Suite 413 Seattle WA WASHINGTON 98122 Director Other Health Care Decline to Disclose 06 false 2011-09-07 false true true true false 0 1999999 527329 1472670 None of the warrants issued in connection with the financing have been exercised. The company has therefore not received proceeds from the exercise of the warrants, if ever. false 8 0 0 0 false IMPEL NEUROPHARMA INC /s/ Michael P. Hite Michael P. Hite President and CEO 2011-09-19