0001562279-16-000003.txt : 20160125 0001562279-16-000003.hdr.sgml : 20160125 20160122213755 ACCESSION NUMBER: 0001562279-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160125 DATE AS OF CHANGE: 20160122 EFFECTIVENESS DATE: 20160125 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lewis & Clark Pharmaceuticals, Inc. CENTRAL INDEX KEY: 0001562279 IRS NUMBER: 454007767 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-255848 FILM NUMBER: 161357360 BUSINESS ADDRESS: STREET 1: 1180 SEMINOLE TRAIL, SUITE 495 CITY: CHARLOTTESVILLE STATE: VA ZIP: 22901 BUSINESS PHONE: 434-963-4000 MAIL ADDRESS: STREET 1: 1180 SEMINOLE TRAIL, SUITE 495 CITY: CHARLOTTESVILLE STATE: VA ZIP: 22901 FORMER COMPANY: FORMER CONFORMED NAME: Lewis & Clark Pharmaceuticals Subsidiary, Inc. DATE OF NAME CHANGE: 20121115 D 1 primary_doc.xml X0707 D LIVE 0001562279 Lewis & Clark Pharmaceuticals, Inc. 1180 SEMINOLE TRAIL, SUITE 495 CHARLOTTESVILLE VA VIRGINIA 22901 434-963-4000 VIRGINIA Lewis & Clark Pharmaceuticals Subsidiary, Inc. Corporation true 2012 Robert D. Thompson 1180 Seminole Trail Suite 495 Charlottesville VA VIRGINIA 22901 Executive Officer Director Joel M. Linden 1180 Seminole Trail Suite 495 Charlottesville VA VIRGINIA 22901 Director C. Thomas Carter 1180 Seminole Trail Suite 495 Charlottesville VA VIRGINIA 22901 Director Miette Michie 1180 Seminole Trail Suite 495 Charlottesville VA VIRGINIA 22901 Director Edward J. Williams 1180 Seminole Trail Suite 495 Charlottesville VA VIRGINIA 22901 Director Jeffrey J. Totten 1180 Seminole Trail Suite 495 Charlottesville VA VIRGINIA 22901 Director Larry E. Rodman 1180 Seminole Trail Suite 495 Charlottesville VA VIRGINIA 22901 Executive Officer Director Pharmaceuticals Decline to Disclose 06b false 2016-01-08 true true true false 10000 1700000 25000 1675000 true 0 1 0 0 300000 true Estimated annual compensation - may not need to be paid from gross proceeds of offering. false Lewis & Clark Pharmaceuticals, Inc. /s/ Robert D. Thompson Robert D. Thompson President 2016-01-22