0001608305-19-000003.txt : 20190226 0001608305-19-000003.hdr.sgml : 20190226 20190226144351 ACCESSION NUMBER: 0001608305-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190226 DATE AS OF CHANGE: 20190226 EFFECTIVENESS DATE: 20190226 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Omniome, Inc. CENTRAL INDEX KEY: 0001608305 IRS NUMBER: 464266817 STATE OF INCORPORATION: DE FISCAL YEAR END: 1214 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-333582 FILM NUMBER: 19632951 BUSINESS ADDRESS: STREET 1: 10575 ROSELLE STREET CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: (858) 832-2300 MAIL ADDRESS: STREET 1: 10575 ROSELLE STREET CITY: SAN DIEGO STATE: CA ZIP: 92121 D 1 primary_doc.xml X0708 D LIVE 0001608305 Omniome, Inc. 10575 ROSELLE STREET SAN DIEGO CA CALIFORNIA 92121 (858) 832-2300 DELAWARE None None Corporation true David S. Mullarkey Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Director David Cruikshank c/o Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 82121 Director Kim Kamdar, Ph.D. c/o Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Director John Murphy, Ph.D. Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Boris Nikolic, M.D. c/o Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Director Arnold Oliphant Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Kelly Perez Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Ken Song, M.D., Ph.D. Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Executive Officer Director Michael Yi c/o Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Director Dan Zabrowski c/o Omniome, Inc. 10575 Roselle Street San Diego CA CALIFORNIA 92121 Director Biotechnology Decline to Disclose 06b false 2018-06-28 false true true false 0 N/A None None None N/A N/A N/A XX Unknown 00000 CA CALIFORNIA IL ILLINOIS NJ NEW JERSEY WA WASHINGTON false 39999998 39999998 0 false 9 0 0 0 false Omniome, Inc. /s/ Brian J. Cuneo Brian J. Cuneo Secretary 2019-02-26