0001627187-17-000001.txt : 20171229 0001627187-17-000001.hdr.sgml : 20171229 20171229095710 ACCESSION NUMBER: 0001627187-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171229 DATE AS OF CHANGE: 20171229 EFFECTIVENESS DATE: 20171229 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Potenza Therapeutics, Inc. CENTRAL INDEX KEY: 0001627187 IRS NUMBER: 465416991 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-301945 FILM NUMBER: 171280029 BUSINESS ADDRESS: STREET 1: 1030 MASSSACHUSETTS AVENUE STREET 2: SUITE 210 CITY: CAMBRIDGE STATE: MA ZIP: 02138 BUSINESS PHONE: 617-588-4150 MAIL ADDRESS: STREET 1: 1030 MASSSACHUSETTS AVENUE STREET 2: SUITE 210 CITY: CAMBRIDGE STATE: MA ZIP: 02138 D 1 primary_doc.xml X0708 D LIVE 0001627187 Potenza Therapeutics, Inc. 1030 MASSSACHUSETTS AVENUE SUITE 210 CAMBRIDGE MA MASSACHUSETTS 02138 617-588-4150 DELAWARE None None Corporation true 2013 Daniel Hicklin 1030 Massachusetts Avenue Suite 210 Cambridge MA MASSACHUSETTS 02138 Executive Officer Director David Cordo 1030 Massachusetts Avenue Suite 210 Cambridge MA MASSACHUSETTS 02138 Executive Officer Cynthia Seidel-Dugan 1030 Massachusetts Avenue Suite 210 Cambridge MA MASSACHUSETTS 02138 Executive Officer Reid Leonard 1030 Massachusetts Avenue Suite 210 Cambridge MA MASSACHUSETTS 02138 Executive Officer Luke Evnin 1030 Massachusetts Avenue Suite 210 Cambridge MA MASSACHUSETTS 02138 Director Shunichiro Matsumoto 1030 Massachusetts Avenue Suite 210 Cambridge MA MASSACHUSETTS 02138 Director Arnold Oronsky 1030 Massachusetts Avenue Suite 210 Cambridge MA MASSACHUSETTS 02138 Director Pharmaceuticals Decline to Disclose 06b false 2017-12-19 false true false 0 5000000 5000000 0 false 5 0 0 0 false Potenza Therapeutics, Inc. /s/ Daniel Hicklin Daniel Hicklin President and Chief Executive Officer 2017-12-29