0001015325-15-000013.txt : 20150603 0001015325-15-000013.hdr.sgml : 20150603 20150603162909 ACCESSION NUMBER: 0001015325-15-000013 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150603 DATE AS OF CHANGE: 20150603 EFFECTIVENESS DATE: 20150603 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Personal Genome Diagnostics Inc. CENTRAL INDEX KEY: 0001530958 IRS NUMBER: 272268485 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-241069 FILM NUMBER: 15910372 BUSINESS ADDRESS: STREET 1: 2809 BOSTON STREET STREET 2: SUITE 503 CITY: BALTIMORE STATE: MD ZIP: 21224 BUSINESS PHONE: (443) 602-8833 MAIL ADDRESS: STREET 1: 2809 BOSTON STREET STREET 2: SUITE 503 CITY: BALTIMORE STATE: MD ZIP: 21224 D 1 primary_doc.xml X0707 D LIVE 0001530958 Personal Genome Diagnostics Inc. 2809 BOSTON STREET SUITE 503 BALTIMORE MD MARYLAND 21224 (443) 602-8833 MARYLAND None None Corporation true 2010 Luis A. Diaz, Jr. c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Director Promoter Victor Velculescu c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Director Promoter Sian Jones c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Mark Sausen c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Sam Angiuoli c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Lisa Kann c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Jeff Boschwitz c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Cindy Caccuro c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer William J Stevens c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Anthony Newton c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Felix Dawson c/o Personal Genome Diagnostics Inc. 2809 Boston Street, Suite 503 Baltimore MD MARYLAND 21224 Director Biotechnology Decline to Disclose 06b false 2015-05-20 false true true false 0 John K. Dierkes 1629115 Pickwick Capital Partners, LLC 130672 445 Hamilton Avenue Suite 1102 White Plains NY NEW YORK 10601 NY NEW YORK PA PENNSYLVANIA MD MARYLAND false Indefinite 4322000 Indefinite false 18 250000 true 0 Subject to future sales 200000 true false Personal Genome Diagnostics Inc. /s/ William J. Stevens William J. Stevens Chief Financial Officer 2015-06-03