0001623627-14-000002.txt : 20141030 0001623627-14-000002.hdr.sgml : 20141030 20141030121153 ACCESSION NUMBER: 0001623627-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20141030 DATE AS OF CHANGE: 20141030 EFFECTIVENESS DATE: 20141030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pivot Bio, Inc. CENTRAL INDEX KEY: 0001623627 IRS NUMBER: 273803526 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-227393 FILM NUMBER: 141182352 BUSINESS ADDRESS: STREET 1: 1700 4TH STREET, BYERS HALL, SUITE 214 CITY: SAN FRANCISCO STATE: CA ZIP: 94158 BUSINESS PHONE: 415-987-4408 MAIL ADDRESS: STREET 1: 1700 4TH STREET, BYERS HALL, SUITE 214 CITY: SAN FRANCISCO STATE: CA ZIP: 94158 D 1 primary_doc.xml X0707 D LIVE 0001623627 Pivot Bio, Inc. 1700 4TH STREET, BYERS HALL, SUITE 214 SAN FRANCISCO CA CALIFORNIA 94158 415-987-4408 DELAWARE None None Corporation true 2010 Karsten Temme c/o Pivot Bio, Inc. 1700 4TH STREET, BYERS HALL, SUITE 214 San Francisco CA CALIFORNIA 94158 Executive Officer Director Alvin Tamsir c/o Pivot Bio, Inc. 1700 4TH STREET, BYERS HALL, SUITE 214 San Francisco CA CALIFORNIA 94158 Executive Officer Director Biotechnology Decline to Disclose 06c false 2014-10-22 false true false 0 999996 749998 249998 false 1 0 0 0 false Pivot Bio, Inc. /s/Karsten Temme Karsten Temme President and Chief Executive Officer 2014-10-30