0001534969-14-000002.txt : 20140610 0001534969-14-000002.hdr.sgml : 20140610 20140610172020 ACCESSION NUMBER: 0001534969-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140610 DATE AS OF CHANGE: 20140610 EFFECTIVENESS DATE: 20140610 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SERA PROGNOSTICS, INC. CENTRAL INDEX KEY: 0001534969 IRS NUMBER: 261911522 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-218904 FILM NUMBER: 14902881 BUSINESS ADDRESS: STREET 1: 417 WAKARA WAY STREET 2: SUITE 3510 CITY: SALT LAKE CITY STATE: UT ZIP: 84108 BUSINESS PHONE: (801) 505-0278 MAIL ADDRESS: STREET 1: 417 WAKARA WAY STREET 2: SUITE 3510 CITY: SALT LAKE CITY STATE: UT ZIP: 84108 D 1 primary_doc.xml X0707 D LIVE 0001534969 SERA PROGNOSTICS, INC. 2749 E. Parleys Way, Suite 200 SALT LAKE CITY UT UTAH 84109 (801) 990-0520 DELAWARE None None Corporation true Gregory C. Critchfield 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Executive Officer Director Andrew A. Sauter 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Executive Officer Dennis B. Farrar 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Director Richard L. Novak 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Director Ryan M. Trimble 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Director Douglas Fisher 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Director Joshua Phillips 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Director Kim Kamdar 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Director Other Health Care Decline to Disclose 06b false 2014-05-30 false true false 0 9156865 9156865 0 Amounts include conversion of an aggregate of $4,656,862 in indebtedness under convertible notes. false 15 0 0 0 false SERA PROGNOSTICS, INC. /s/ Andrew A. Sauter Andrew A. Sauter Chief Financial Officer 2014-06-10