0001534076-15-000003.txt : 20150918 0001534076-15-000003.hdr.sgml : 20150918 20150917183045 ACCESSION NUMBER: 0001534076-15-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150918 DATE AS OF CHANGE: 20150917 EFFECTIVENESS DATE: 20150918 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: 021-247855 FILM NUMBER: 151113626 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 X0707 D LIVE 0001445499 IMPEL NEUROPHARMA INC 720 BROADWAY AVE. SUITE 413 SEATTLE WA WASHINGTON 98122 408-966-9981 DELAWARE None None Corporation true 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 Stewart Parker c/o Impel NeuroPharma, Inc. 720 Broadway Ave., Suite 413 Seattle WA WASHINGTON 98122 Director Other Health Care Decline to Disclose 06b false 2015-09-03 false true true true false 0 12000000 4000000 8000000 false 1 0 0 0 false IMPEL NEUROPHARMA INC /s/ Michael P. Hite Michael P. Hite President and CEO 2015-09-10