0001532854-17-000002.txt : 20171010 0001532854-17-000002.hdr.sgml : 20171009 20171010135723 ACCESSION NUMBER: 0001532854-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171010 DATE AS OF CHANGE: 20171010 EFFECTIVENESS DATE: 20171010 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: 021-296283 FILM NUMBER: 171129934 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 X0708 D LIVE 0001532854 Blaze Bioscience, Inc. 530 FAIRVIEW AVENUE N. SUITE 1400 SEATTLE WA WASHINGTON 98109 2065358144 DELAWARE Pandion Bioscience, Inc. None Corporation true HEATHER FRANKLIN 530 FAIRVIEW AVENUE N. SUITE 1400 SEATTLE WA WASHINGTON 98109 Executive Officer Director JAMES C. 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 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 2017-10-03 false true false 0 18105620 16108197 1997423 false 32 0 0 0 false Blaze Bioscience, Inc. /s/ Ludmila Lobanova LUDMILA LOBANOVA SVP OF FINANCE AND OPERATIONS 2017-10-09