0001563355-23-000001.txt : 20230505 0001563355-23-000001.hdr.sgml : 20230505 20230505150655 ACCESSION NUMBER: 0001563355-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230505 DATE AS OF CHANGE: 20230505 EFFECTIVENESS DATE: 20230505 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Antiva Biosciences, Inc. CENTRAL INDEX KEY: 0001563355 IRS NUMBER: 800865383 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-480968 FILM NUMBER: 23893303 BUSINESS ADDRESS: STREET 1: 280 OLD COUNTY ROAD #257 CITY: BRISBANE STATE: CA ZIP: 94005 BUSINESS PHONE: (650) 822-1400 MAIL ADDRESS: STREET 1: 280 OLD COUNTY ROAD #257 CITY: BRISBANE STATE: CA ZIP: 94005 FORMER COMPANY: FORMER CONFORMED NAME: Hera Therapeutics Inc. DATE OF NAME CHANGE: 20121130 D 1 primary_doc.xml X0708 D LIVE 0001563355 Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 (650) 822-1400 DELAWARE Hera Therapeutics Inc. Corporation true Kristine Ball c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Executive Officer Director Gail Maderis c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Director Wende Hutton c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Director Clifford Samuel c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Director Jenny Yip c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Director Brian Goodman c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Director Florencia Segal c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Director Oranee Daniels c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Executive Officer Raju Gadiraju c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Executive Officer Sarah Walter c/o Antiva Biosciences, Inc. 280 OLD COUNTY ROAD #257 BRISBANE CA CALIFORNIA 94005 Executive Officer Biotechnology Decline to Disclose 06b false 2023-04-24 false true false 0 52999990 26565771 26434219 false 21 0 0 0 false Antiva Biosciences, Inc. /s/ Kristine Ball Kristine Ball Chief Executive Officer 2023-05-05