0001516068-19-000001.txt : 20190531 0001516068-19-000001.hdr.sgml : 20190531 20190531100815 ACCESSION NUMBER: 0001516068-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190531 DATE AS OF CHANGE: 20190531 EFFECTIVENESS DATE: 20190531 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Avisa Pharma Inc. CENTRAL INDEX KEY: 0001516068 IRS NUMBER: 273584660 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-340814 FILM NUMBER: 19868904 BUSINESS ADDRESS: STREET 1: 1660A OLD PECOS TRAIL CITY: SANTA FE STATE: NM ZIP: 87505 BUSINESS PHONE: 505-820-1400 MAIL ADDRESS: STREET 1: 1660A OLD PECOS TRAIL CITY: SANTA FE STATE: NM ZIP: 87505 D 1 primary_doc.xml X0708 D LIVE 0001516068 Avisa Pharma Inc. 1660A OLD PECOS TRAIL SANTA FE NM NEW MEXICO 87505 505-820-1400 DELAWARE None None Corporation true David S. Joseph 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Executive Officer Director Allan Bedwick 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Director Brian P. Birk 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Director William A. Miller 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Director Thomas R. Morse 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Director Stuart Schoenmann 10157 Master Drive Albuquerque NM NEW MEXICO 87111 Director Matt Culler 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Executive Officer Other Health Care Decline to Disclose 06b false 2019-05-22 false true true true false 0 945000 335000 610000 false 5 0 0 196085 true false Avisa Pharma Inc. David S. Joseph David S. Joseph CEO and President 2019-05-31