0001623627-20-000001.txt : 20200512 0001623627-20-000001.hdr.sgml : 20200512 20200511210008 ACCESSION NUMBER: 0001623627-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200512 DATE AS OF CHANGE: 20200511 EFFECTIVENESS DATE: 20200512 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: 021-366698 FILM NUMBER: 20866820 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, #120 Berkeley CA CALIFORNIA 94710 415-987-4408 DELAWARE None None Corporation true Karsten Temme 2929 Seventh Street, #120 Berkeley CA CALIFORNIA 94710 Executive Officer Director Matt Ocko 2929 Seventh Street, #120 Berkeley CA CALIFORNIA 94710 Director Roger Wyse 2929 Seventh Street, #120 Berkeley CA CALIFORNIA 94710 Director Charles Cooper Rinzler 2929 Seventh Street, #120 Berkeley CA CALIFORNIA 94710 Director Dheeraj Mehta 2929 Seventh Street, #120 Berkeley CA CALIFORNIA 94710 Director Alvin Tamsir 2929 Seventh Street, #120 Berkeley CA CALIFORNIA 94710 Executive Officer Director Other Technology Decline to Disclose 06b false 2020-01-06 false true true Series C Preferred Stock and Common Stock issuable upon the conversion thereof. false 0 100000000 100000000 0 false 13 0 0 0 false Pivot Bio, Inc. /s/Karsten Temme Karsten Temme Chief Executive Officer 2020-05-11