0001493716-19-000001.txt : 20190913 0001493716-19-000001.hdr.sgml : 20190913 20190913142818 ACCESSION NUMBER: 0001493716-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190913 DATE AS OF CHANGE: 20190913 EFFECTIVENESS DATE: 20190913 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sebacia, Inc. CENTRAL INDEX KEY: 0001493716 IRS NUMBER: 263638381 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-348811 FILM NUMBER: 191092329 BUSINESS ADDRESS: STREET 1: C/O THE INNOVATION FACTORY STREET 2: 2750 PREMIERE PKWY, SUITE 200 CITY: DULUTH STATE: GA ZIP: 30097 BUSINESS PHONE: 888-935-4411 MAIL ADDRESS: STREET 1: C/O THE INNOVATION FACTORY STREET 2: 2750 PREMIERE PKWY, SUITE 200 CITY: DULUTH STATE: GA ZIP: 30097 D 1 primary_doc.xml X0708 D LIVE 0001493716 Sebacia, Inc. 2905 Premiere Parkway, Suite 150 Duluth GA GEORGIA 30097 678-417-7626 DELAWARE TIF Acquisition XII< Inc. None Corporation true Charles Abraham 2905 Premiere Parkway, Suite 150 Duluth GA GEORGIA 30097 Executive Officer Director Jesse Treu 2905 Premiere Parkway, Suite 150 Duluth GA GEORGIA 30097 Director Rebecca S. Robertson 2905 Premiere Parkway, Suite 150 Duluth GA GEORGIA 30097 Director Neal Walker 2905 Premiere Parkway, Suite 150 Duluth GA GEORGIA 30097 Director Charles E. Larson 2905 Premiere Parkway, Suite 150 Duluth GA GEORGIA 30097 Director John Dyett 2905 Premiere Parkway, Suite 150 Duluth GA GEORGIA 30097 Director Other Health Care Decline to Disclose 06b false 2019-08-30 false true false 0 14999996 10000000 4999996 false 7 0 0 0 false Sebacia, Inc. Charles Abraham Charles Abraham Chief Executive Officer 2019-09-13