0001530958-17-000001.txt : 20171030 0001530958-17-000001.hdr.sgml : 20171030 20171030170930 ACCESSION NUMBER: 0001530958-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171030 DATE AS OF CHANGE: 20171030 EFFECTIVENESS DATE: 20171030 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: 021-297722 FILM NUMBER: 171163183 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 X0708 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 Director Victor Velculescu 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Justin Klein 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Douglas Ward 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Director William Stevens 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer James LaFrance 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Sam Anguioli 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Biotechnology Decline to Disclose 06b false 2017-10-13 false true true Offer and sale of shares of preferred stock and the underlying shares of common stock issuable upon conversion thereof. false 0 111517424 65367412 46150012 false 12 0 0 0 false Personal Genome Diagnostics Inc. /s/ Douglas Ward Douglas Ward Chief Executive Officer 2017-10-30