0001445499-12-000001.txt : 20120810 0001445499-12-000001.hdr.sgml : 20120810 20120810161700 ACCESSION NUMBER: 0001445499-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120810 DATE AS OF CHANGE: 20120810 EFFECTIVENESS DATE: 20120810 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: 021-182557 FILM NUMBER: 121024791 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 X0706 D LIVE 0001445499 IMPEL NEUROPHARMA INC 720 BROADWAY AVE. SUITE 413 SEATTLE WA WASHINGTON 98122 206-568-1466 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 2012-07-31 false true true false 0 500000 25000 475000 false 1 0 0 0 false IMPEL NEUROPHARMA INC /s/ MICHAEL P. HITE Michael P. Hite President and CEO 2012-08-10