0001623627-18-000001.txt : 20181029 0001623627-18-000001.hdr.sgml : 20181029 20181026185145 ACCESSION NUMBER: 0001623627-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181029 DATE AS OF CHANGE: 20181026 EFFECTIVENESS DATE: 20181029 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: 021-324516 FILM NUMBER: 181142572 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 X0708 D LIVE 0001623627 Pivot Bio, Inc. 2929 Seventh Street, Suite 120 Berkeley CA CALIFORNIA 94710 415-987-4408 DELAWARE None None Corporation true Karsten Temme 2929 Seventh Street, Suite 120 Berkeley CA CALIFORNIA 94710 Executive Officer Director Alvin Tamsir 2929 Seventh Street, Suite 120 Berkeley CA CALIFORNIA 94710 Executive Officer Director Matt Ocko 2929 Seventh Street, Suite 120 Berkeley CA CALIFORNIA 94710 Director Roger Wyse 2929 Seventh Street, Suite 120 Berkeley CA CALIFORNIA 94710 Director Charles Cooper Rinzler 2929 Seventh Street, Suite 120 Berkeley CA CALIFORNIA 94710 Director Dheeraj Mehta 2929 Seventh Street, Suite 120 Berkeley CA CALIFORNIA 94710 Director Other Technology Decline to Disclose 06b false 2018-09-13 false true true Series B Preferred Stock and Common Stock issuable upon the conversion thereof. false 0 71380745 71330743 50002 false 15 0 0 0 false Pivot Bio, Inc. /s/Karsten Temme Karsten Temme CEO 2018-10-26