0001532854-16-000002.txt : 20160112 0001532854-16-000002.hdr.sgml : 20160112 20160111183148 ACCESSION NUMBER: 0001532854-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160112 DATE AS OF CHANGE: 20160111 EFFECTIVENESS DATE: 20160112 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blaze Bioscience, Inc. CENTRAL INDEX KEY: 0001532854 IRS NUMBER: 274410926 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-254917 FILM NUMBER: 161337314 BUSINESS ADDRESS: STREET 1: 530 FAIRVIEW AVENUE N. STREET 2: SUITE 1400 CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 2065358144 MAIL ADDRESS: STREET 1: 530 FAIRVIEW AVENUE N. STREET 2: SUITE 1400 CITY: SEATTLE STATE: WA ZIP: 98109 D 1 primary_doc.xml X0707 D LIVE 0001532854 Blaze Bioscience, Inc. 530 FAIRVIEW AVENUE N. SUITE 1400 SEATTLE WA WASHINGTON 98109 2065358144 DELAWARE None None Corporation true Heather Franklin 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Executive Officer Director James Olson 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Director James Towne 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Director Ludmila Lobanova 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Executive Officer Dennis Miller 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Executive Officer Julia Novak 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Executive Officer Mary Ellen Hughes 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Director Jan Ohrstrom 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Director Biotechnology Decline to Disclose 06b false 2015-12-31 false true true true false 0 4990000 991000 3999000 false 8 0 0 0 false Blaze Bioscience, Inc. Ludmila Lobanova Ludmila Lobanova SVP of Finance and Operations 2016-01-08