0001534133-17-000002.txt : 20170718 0001534133-17-000002.hdr.sgml : 20170718 20170717173528 ACCESSION NUMBER: 0001534133-17-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170718 DATE AS OF CHANGE: 20170717 EFFECTIVENESS DATE: 20170718 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GRAYBUG VISION, INC. CENTRAL INDEX KEY: 0001534133 IRS NUMBER: 452120079 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-263150 FILM NUMBER: 17968218 BUSINESS ADDRESS: STREET 1: 275 SHORELINE DRIVE, SUITE 450 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-487-2800 MAIL ADDRESS: STREET 1: 275 SHORELINE DRIVE, SUITE 450 CITY: REDWOOD CITY STATE: CA ZIP: 94065 FORMER COMPANY: FORMER CONFORMED NAME: GRAYBUG, Inc. DATE OF NAME CHANGE: 20150303 FORMER COMPANY: FORMER CONFORMED NAME: GRAYBUG LLC DATE OF NAME CHANGE: 20111102 D/A 1 primary_doc.xml X0708 D/A LIVE 0001534133 GRAYBUG VISION, INC. 275 SHORELINE DRIVE, SUITE 450 REDWOOD CITY CA CALIFORNIA 94065 650-487-2800 DELAWARE GRAYBUG, Inc. GRAYBUG LLC Corporation true Jeffrey Cleland Graybug Vision, Inc. 275 Shoreline Drive, Suite 450 Redwood City CA CALIFORNIA 94065 Executive Officer Director Gerald Cagle 275 Shoreline Drive, Suite 450 Redwood City CA CALIFORNIA 94065 Director Justin Hanes 275 Shoreline Drive, Suite 450 Redwood City CA CALIFORNIA 94065 Director Christy Shaffer 275 Shoreline Drive, Suite 450 Redwood City CA CALIFORNIA 94065 Director Chau Khoung 275 Shoreline Drive, Suite 450 Redwood City CA CALIFORNIA 94065 Director Emmett Cunningham 275 Shoreline Drive, Suite 450 Redwood City CA CALIFORNIA 94065 Director Cameron Wheeler 275 Shoreline Drive, Suite 450 Redwood City CA CALIFORNIA 94065 Director Biotechnology Decline to Disclose 06b true 0001140361-16-065042 2016-04-29 true true false 0 45393828 32943696 12450132 false 16 0 0 0 false GRAYBUG VISION, INC. /s/Jeffrey L. Cleland Jeffrey L. Cleland Chief Executive Officer 2017-07-17