0001632083-16-000003.txt : 20160621 0001632083-16-000003.hdr.sgml : 20160621 20160620175701 ACCESSION NUMBER: 0001632083-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160621 DATE AS OF CHANGE: 20160620 EFFECTIVENESS DATE: 20160621 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Alpine Immune Sciences, Inc. CENTRAL INDEX KEY: 0001632083 IRS NUMBER: 472667641 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-265425 FILM NUMBER: 161723026 BUSINESS ADDRESS: STREET 1: 600 STEWART ST. STREET 2: STE. 1503 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: (206)441-5064 MAIL ADDRESS: STREET 1: 600 STEWART ST. STREET 2: STE. 1503 CITY: SEATTLE STATE: WA ZIP: 98101 D 1 primary_doc.xml X0707 D LIVE 0001632083 Alpine Immune Sciences, Inc. 600 STEWART ST. STE. 1503 SEATTLE WA WASHINGTON 98101 (206) 441-5064 DELAWARE None None Corporation true 2014 Jay Venkatesan 600 Stewart Street Suite 1503 Seattle WA WASHINGTON 98101 Executive Officer Director Mitchell H. Gold 600 Stewart Street Suite 1503 Seattle WA WASHINGTON 98101 Executive Officer Director Peter Thompson 601 Lexington Avenue 54th Floor New York NY NEW YORK 10022 Director James Topper 601 Union Street Suite 3200 Seattle WA WASHINGTON 98101 Director Michael Kornacker 600 Stewart Street Suite 1503 Seattle WA WASHINGTON 98101 Executive Officer Ryan Swanson 600 Stewart Street Suite 1503 Seattle WA WASHINGTON 98101 Executive Officer David Miller 600 Stewart Street Suite 1503 Seattle WA WASHINGTON 98101 Executive Officer Biotechnology Decline to Disclose 06b false 2016-06-10 false true false 0 47999998 10333333 37666665 false 3 0 0 0 false Alpine Immune Sciences, Inc. /David Miller/ David Miller Secretary 2016-06-20