0000819176-14-000005.txt : 20140117 0000819176-14-000005.hdr.sgml : 20140117 20140117141121 ACCESSION NUMBER: 0000819176-14-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140117 DATE AS OF CHANGE: 20140117 EFFECTIVENESS DATE: 20140117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 5i Sciences, Inc. CENTRAL INDEX KEY: 0001591087 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-210340 FILM NUMBER: 14534563 BUSINESS ADDRESS: STREET 1: 18337 ALISO CANYON ROAD CITY: RANCHO SANTA FE STATE: CA ZIP: 92067 BUSINESS PHONE: 858-759-2205 MAIL ADDRESS: STREET 1: 18337 ALISO CANYON ROAD CITY: RANCHO SANTA FE STATE: CA ZIP: 92067 D 1 primary_doc.xml X0707 D LIVE 0001591087 5i Sciences, Inc. 18337 ALISO CANYON ROAD RANCHO SANTA FE CA CALIFORNIA 92067 858-759-2205 DELAWARE None None Corporation true RICHARD ROSE C/O 5i SCIENCES, INC. 18337 ALISO CANYON ROAD RANCHO SANTA FE CA CALIFORNIA 92067 Executive Officer Director JEROME AARESTAD C/O 5i SCIENCES, INC. 18337 ALISO CANYON ROAD RANCHO SANTA FE CA CALIFORNIA 92067 Executive Officer Director BEN ANDERSON-RAY C/O 5i SCIENCES, INC. 18337 ALISO CANYON ROAD RANCHO SANTA FE CA CALIFORNIA 92067 Director WALTER FLICKER C/O 5i SCIENCES, INC. 18337 ALISO CANYON ROAD RANCHO SANTA FE CA CALIFORNIA 92067 Executive Officer DENA BRAVATA C/O 5i SCIENCES, INC. 18337 ALISO CANYON ROAD RANCHO SANTA FE CA CALIFORNIA 92067 Director AVRAM MILLER C/O 5i SCIENCES, INC. 18337 ALISO CANYON ROAD RANCHO SANTA FE CA CALIFORNIA 92067 Executive Officer Director DAVID GOLDSMITH C/O 5i SCIENCES, INC. 18337 ALISO CANYON ROAD RANCHO SANTA FE CA CALIFORNIA 92067 Director Other Health Care Decline to Disclose 06b false 2013-10-18 true true false 0 4000000 1930000 2070000 false 40 0 0 0 false 5i Sciences, Inc. RICHARD ROSE RICHARD ROSE PRESIDENT AND DIRECTOR 2014-01-17