0001615928-14-000004.txt : 20140811 0001615928-14-000004.hdr.sgml : 20140811 20140811101429 ACCESSION NUMBER: 0001615928-14-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140811 DATE AS OF CHANGE: 20140811 EFFECTIVENESS DATE: 20140811 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: 021-222597 FILM NUMBER: 141029267 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 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 2014-07-09 true true true false 0 3000000 3000000 0 false 5 0 0 0 false 5i Sciences, Inc. RICHARD ROSE RICHARD ROSE PRESIDENT AND DIRECTOR 2014-08-11