0001623627-21-000001.txt : 20210804 0001623627-21-000001.hdr.sgml : 20210804 20210803181624 ACCESSION NUMBER: 0001623627-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210804 DATE AS OF CHANGE: 20210803 EFFECTIVENESS DATE: 20210804 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: 021-408715 FILM NUMBER: 211141485 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. 2910 Seventh St. Berkeley CA CALIFORNIA 94710 415-987-4408 DELAWARE None None Corporation true Karsten Temme 2910 Seventh St. Berkeley CA CALIFORNIA 94710 Executive Officer Director Matt Ocko 2910 Seventh St. Berkeley CA CALIFORNIA 94710 Director Charles Cooper Rinzler 2910 Seventh St. Berkeley CA CALIFORNIA 94710 Director Christopher Abbott 2910 Seventh St. Berkeley CA CALIFORNIA 94710 Director Alvin Tamsir 2910 Seventh St. Berkeley CA CALIFORNIA 94710 Executive Officer Director Ryan Rakestraw 2910 Seventh St. Berkeley CA CALIFORNIA 94710 Director Lisa Safarian 2910 Seventh St. Berkeley CA CALIFORNIA 94710 Director Other Technology Decline to Disclose 06b false 2021-06-28 false true false 0 434999176 434539674 459502 false 19 0 0 0 false Pivot Bio, Inc. /s/Karsten Temme Karsten Temme Chief Executive Officer 2021-08-03