0000914760-15-000286.txt : 20151014 0000914760-15-000286.hdr.sgml : 20151014 20151014130144 ACCESSION NUMBER: 0000914760-15-000286 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151014 DATE AS OF CHANGE: 20151014 EFFECTIVENESS DATE: 20151014 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PellePharm, Inc. CENTRAL INDEX KEY: 0001611568 IRS NUMBER: 460616581 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-249340 FILM NUMBER: 151157846 BUSINESS ADDRESS: STREET 1: 275 MIDDLEFIELD ROAD, STE. 100 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 815-7404 MAIL ADDRESS: STREET 1: 275 MIDDLEFIELD ROAD, STE. 100 CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0707 D LIVE 0001611568 PellePharm, Inc. C/O PAUL DESTEFANO, 275 MIDDLEFIELD ROAD SUITE 100 MENLO PARK CA CALIFORNIA 94025 (650) 815-7404 DELAWARE None None Corporation true 2012 Jean Tang 853 Esplanada Way Stanford CA CALIFORNIA 94305 Director Mark De Souza 904 Alvarado Road Berkeley CA CALIFORNIA 94705 Executive Officer Director Neil Kumar 7 Sandstone Street Portola Valley CA CALIFORNIA 94028 Director Frank McCormick 5 Bernice Street San Francisco CA CALIFORNIA 94103 Director Ervin Epstein 553A Miner Road Orinda CA CALIFORNIA 94563 Executive Officer Director Biotechnology Decline to Disclose 06b false 2015-09-15 false true false 0 719680 719680 0 In connection with rights under a contractual arrangement false 1 0 0 0 false PellePharm, Inc. Mark De Souza Mark De Souza Chief Executive Officer 2015-10-13