0001530958-19-000001.txt : 20190624 0001530958-19-000001.hdr.sgml : 20190624 20190624163242 ACCESSION NUMBER: 0001530958-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190624 DATE AS OF CHANGE: 20190624 EFFECTIVENESS DATE: 20190624 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: 021-342633 FILM NUMBER: 19915767 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 Garry Nicholson 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director 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 Kavita Patel 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Jason Fuller 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Jack Crowley 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Biotechnology Decline to Disclose 06b false 2019-06-07 false true true false 0 20000000 5000000 15000000 false 1 0 0 0 false Personal Genome Diagnostics Inc. /s/ Douglas Ward Douglas Ward Chief Executive Officer 2019-06-24