0001532854-24-000004.txt : 20241021 0001532854-24-000004.hdr.sgml : 20241021 20241021154629 ACCESSION NUMBER: 0001532854-24-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241021 DATE AS OF CHANGE: 20241021 EFFECTIVENESS DATE: 20241021 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blaze Bioscience, Inc. CENTRAL INDEX KEY: 0001532854 ORGANIZATION NAME: IRS NUMBER: 274410926 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-527363 FILM NUMBER: 241383322 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 None None Corporation true Steven R. Daly 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 Executive Officer Director Ludmila R. Lobanova 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Executive Officer Jan K. Ohrstrom 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Director Heather L. Franklin 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Director Lawrence Patrick Hughes 530 Fairview Avenue N. Suite 1400 Seattle WA WASHINGTON 98109 Director Biotechnology Decline to Disclose 06b false 2020-10-30 false true true false 0 10000000 10000000 0 false 1 0 0 0 false Blaze Bioscience, Inc. /s/ Steven R. Daly Steven R. Daly Chief Executive Officer 2024-10-11