0001534969-14-000004.txt : 20141118 0001534969-14-000004.hdr.sgml : 20141118 20141118125722 ACCESSION NUMBER: 0001534969-14-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141118 DATE AS OF CHANGE: 20141118 EFFECTIVENESS DATE: 20141118 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: 021-228571 FILM NUMBER: 141231217 BUSINESS ADDRESS: STREET 1: 2749 E. PARLEYS WAY STREET 2: SUITE 200 CITY: SALT LAKE CITY STATE: UT ZIP: 84109 BUSINESS PHONE: (801) 990-0520 MAIL ADDRESS: STREET 1: 2749 E. PARLEYS WAY STREET 2: SUITE 200 CITY: SALT LAKE CITY STATE: UT ZIP: 84109 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 Douglas Fisher 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 Richard L. Novak 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 Ryan M. Trimble 2749 E. Parleys Way, Suite 200 Salt Lake City UT UTAH 84109 Director Other Health Care Decline to Disclose 06b false 2014-11-07 false true false 0 25000000 5000000 20000000 false 15 0 0 0 false SERA PROGNOSTICS, INC. /s/ Andrew A. Sauter Andrew A. Sauter Chief Financial Officer 2014-11-14