0001532854-19-000002.txt : 20190214 0001532854-19-000002.hdr.sgml : 20190214 20190214172542 ACCESSION NUMBER: 0001532854-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190214 DATE AS OF CHANGE: 20190214 EFFECTIVENESS DATE: 20190214 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: 021-332916 FILM NUMBER: 19608510 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 Cameron 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 Koch Ohrstrom 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Director Claudia Jochheim 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Executive Officer Biotechnology Decline to Disclose 06b false 2019-02-01 false true false 0 20237759 5000000 15237759 false 1 0 0 0 false Blaze Bioscience, Inc. /s/ Ludmila Lobanova Ludmila Lobanova SVP of Finance and Operations 2019-02-14