0001589194-19-000002.txt : 20190904 0001589194-19-000002.hdr.sgml : 20190904 20190904171144 ACCESSION NUMBER: 0001589194-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190904 DATE AS OF CHANGE: 20190904 EFFECTIVENESS DATE: 20190904 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CORVIUM, INC. CENTRAL INDEX KEY: 0001589194 IRS NUMBER: 264479056 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-348016 FILM NUMBER: 191075396 BUSINESS ADDRESS: STREET 1: 12100 SUNSET HILLS ROAD STREET 2: SUITE 100 CITY: RESTON STATE: VA ZIP: 20190 BUSINESS PHONE: 617 393 7600 MAIL ADDRESS: STREET 1: 12100 SUNSET HILLS ROAD STREET 2: SUITE 100 CITY: RESTON STATE: VA ZIP: 20190 FORMER COMPANY: FORMER CONFORMED NAME: Sample6, Inc. DATE OF NAME CHANGE: 20131015 D 1 primary_doc.xml X0708 D LIVE 0001589194 CORVIUM, INC. 12100 SUNSET HILLS ROAD SUITE 100 RESTON VA VIRGINIA 20190 617 393 7600 DELAWARE Novophage, Inc. Sample6 Technologies, Inc. Sample6, Inc. Corporation true Jeffrey Swartz c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 21090 Executive Officer Director Karen Shoemaker c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 20190 Executive Officer Timothy Lu c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 20190 Director Michael Koeris c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 20190 Director Stephen Bloch c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 20190 Director Andrew Ziolkowski c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 20190 Director Sam Kass c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 20190 Director Ralph Rodriguez c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 20190 Director Jeffrey Massa c/o Corvium, Inc. 12100 Sunset Hills Road, Suite 100 Reston VA VIRGINIA 20190 Executive Officer Other Decline to Disclose 06b false 2019-08-20 false true false 0 15000000 6693065 8306935 false 4 0 0 0 false CORVIUM, INC. /s/ Jeffrey Swartz Jeffrey Swartz Chief Executive Officer 2019-09-04