0001530958-21-000001.txt : 20210223 0001530958-21-000001.hdr.sgml : 20210223 20210223133950 ACCESSION NUMBER: 0001530958-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210223 DATE AS OF CHANGE: 20210223 EFFECTIVENESS DATE: 20210223 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: 021-390203 FILM NUMBER: 21664428 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 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 Megan Bailey 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Director Scott Gotshall 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer James LaFrance 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Samuel Anguioli 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Kavita Patel 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Kevin Reidy 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Jack Crowley 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Executive Officer Lily Li 2809 Boston Street Suite 503 Baltimore MD MARYLAND 21224 Director Biotechnology Decline to Disclose 06b false 2021-02-05 false true true false 0 98295724 97729418 566306 false 38 0 0 0 false Personal Genome Diagnostics Inc. /s/ Megan Bailey Megan Bailey Interim Chief Executive Officer 2021-02-22