0001623627-16-000002.txt : 20160122 0001623627-16-000002.hdr.sgml : 20160122 20160122115802 ACCESSION NUMBER: 0001623627-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160122 DATE AS OF CHANGE: 20160122 EFFECTIVENESS DATE: 20160122 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: 021-255760 FILM NUMBER: 161355485 BUSINESS ADDRESS: STREET 1: 5980 HORTON ST, SUITE 410 CITY: EMERYVILLE STATE: CA ZIP: 94608 BUSINESS PHONE: 415-987-4408 MAIL ADDRESS: STREET 1: 5980 HORTON ST, SUITE 410 CITY: EMERYVILLE STATE: CA ZIP: 94608 D 1 primary_doc.xml X0707 D LIVE 0001623627 Pivot Bio, Inc. 5980 HORTON ST, SUITE 410 EMERYVILLE CA CALIFORNIA 94608 415-830-6847 DELAWARE None None Corporation true Karsten Temme 5980 Horton St, Suite 410 Emeryville CA CALIFORNIA 94608 Executive Officer Director Alvin Tamsir 5980 Horton St, Suite 410 Emeryville CA CALIFORNIA 94608 Executive Officer Director John Hamer 5980 Horton St, Suite 410 Emeryville CA CALIFORNIA 94608 Director Matt Ocko 5980 Horton St, Suite 410 Emeryville CA CALIFORNIA 94608 Director Biotechnology Decline to Disclose 06b false 2016-01-13 false true true Sale and issuance of Series A Preferred Stock and the underlying shares of Common Stock issuable upon the conversion thereof. false 0 15021508 8121509 6899999 false 4 0 0 0 false Pivot Bio, Inc. /s/Karsten Temme Karsten Temme President and Chief Executive Officer 2016-01-21