0001530958-15-000005.txt : 20151106 0001530958-15-000005.hdr.sgml : 20151106 20151106144259 ACCESSION NUMBER: 0001530958-15-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151106 DATE AS OF CHANGE: 20151106 EFFECTIVENESS DATE: 20151106 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Personal Genome Diagnostics Inc. CENTRAL INDEX KEY: 0001530958 IRS NUMBER: 272268485 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-250836 FILM NUMBER: 151204070 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 DELAWARE None None Corporation true 2015 Luis A. Diaz, Jr. 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Director Victor Velculescu 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Director Justin Klein 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Jeff Boschwitz 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer William Stevens 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Anthony Newton 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Sam Anguioli 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Biotechnology Decline to Disclose 06b false 2015-10-23 false true true Offer and sale of shares of preferred stock and the underlying shares of common stock issuable upon conversion thereof. false 0 21445808 20451998 993810 false 22 0 0 0 false Personal Genome Diagnostics Inc. /s/ Victor Velculescu Victor Velculescu Secretary 2015-11-06