0001582186-17-000002.txt : 20170726 0001582186-17-000002.hdr.sgml : 20170726 20170726152856 ACCESSION NUMBER: 0001582186-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170726 DATE AS OF CHANGE: 20170726 EFFECTIVENESS DATE: 20170726 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Amphivena Therapeutics, Inc. CENTRAL INDEX KEY: 0001582186 IRS NUMBER: 461637851 STATE OF INCORPORATION: DE FISCAL YEAR END: 1212 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-291539 FILM NUMBER: 17982680 BUSINESS ADDRESS: STREET 1: 45 JUNIPER STREET, #3 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: (415) 994-6455 MAIL ADDRESS: STREET 1: 45 JUNIPER STREET, #3 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 D 1 primary_doc.xml X0708 D LIVE 0001582186 Amphivena Therapeutics, Inc. 45 JUNIPER STREET, #3 SAN FRANCISCO CA CALIFORNIA 94103 (415) 994-6455 DELAWARE Affimed Spinco Inc. None Corporation true 2012 Jeanmarie Guenot 45 Juniper Street #3 San Francisco CA CALIFORNIA 94103 Executive Officer Director Florian Fischer 45 Juniper Street #3 San Francisco CA CALIFORNIA 94103 Director Luke Evnin 45 Juniper Street #3 San Francisco CA CALIFORNIA 94103 Director Vinay Bhaskar 45 Juniper Street #3 San Francisco CA CALIFORNIA 94103 Director Christian Richard 45 Juniper Street #3 San Francisco CA CALIFORNIA 94103 Director Biotechnology Decline to Disclose 06b false 2017-07-17 false true false 0 7000000 7000000 0 false 2 0 0 0 false Amphivena Therapeutics, Inc. Jeanmarie Guenot Jeanmarie Guenot President 2017-07-26