0001605229-14-000002.txt : 20140424 0001605229-14-000002.hdr.sgml : 20140424 20140423183926 ACCESSION NUMBER: 0001605229-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140424 DATE AS OF CHANGE: 20140423 EFFECTIVENESS DATE: 20140424 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ActivaDerm, Inc. CENTRAL INDEX KEY: 0001605229 IRS NUMBER: 464455494 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-216144 FILM NUMBER: 14779748 BUSINESS ADDRESS: STREET 1: 2734 SOUTH 3600 WEST STREET 2: UNIT F CITY: SALT LAKE CITY STATE: UT ZIP: 84119 BUSINESS PHONE: 801-696-0883 MAIL ADDRESS: STREET 1: 2734 SOUTH 3600 WEST STREET 2: UNIT F CITY: SALT LAKE CITY STATE: UT ZIP: 84119 D 1 primary_doc.xml X0707 D LIVE 0001605229 ActivaDerm, Inc. 2734 SOUTH 3600 WEST UNIT F SALT LAKE CITY UT UTAH 84119 801-696-0883 UTAH None None Corporation true 2013 Jamal S. Yanaki 2734 South 3600 West Unit F Salt Lake City UT UTAH 84119 Executive Officer Director Timothy Brian Lucas 2734 South 3600 West Unit F Salt Lake City UT UTAH 84119 Executive Officer Director Ralph Karl Koschinsky 2734 South 3600 West Unit F Salt Lake City UT UTAH 84119 Executive Officer Director Other Health Care Decline to Disclose 06b false true false true false 0 600000 0 600000 false 0 0 0 0 true Proceeds used for working capital may include officer compensation. false ActivaDerm, Inc. Jamal S. Yanaki Jamal S. Yanaki President and CEO 2014-04-23