0001608305-19-000004.txt : 20191211 0001608305-19-000004.hdr.sgml : 20191211 20191211092855 ACCESSION NUMBER: 0001608305-19-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191211 DATE AS OF CHANGE: 20191211 EFFECTIVENESS DATE: 20191211 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: 021-355241 FILM NUMBER: 191279069 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. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 (858) 832-2300 DELAWARE None None Corporation true David S. Mullarkey Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Executive Officer Director David Cruikshank c/o Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Director Kim Kamdar, Ph.D. c/o Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Director Catherine Lee Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Executive Officer Arnold Oliphant Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Executive Officer Kelly Perez Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Executive Officer Ken Song, M.D., Ph.D. Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Executive Officer Director Michael Yi c/o Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Director Dan Zabrowski c/o Omniome, Inc. 10275 Science Center Drive SAN DIEGO CA CALIFORNIA 92121 Director Biotechnology Decline to Disclose 06b false 2019-11-27 false true true false 0 N/A None None None N/A N/A N/A XX Unknown 00000 CA CALIFORNIA MA MASSACHUSETTS false 60000003 60000003 0 false 2 0 0 0 false Omniome, Inc. /s/ Catherine Lee Catherine Lee Secretary 2019-12-10