0001645829-15-000004.txt : 20150624 0001645829-15-000004.hdr.sgml : 20150624 20150624105823 ACCESSION NUMBER: 0001645829-15-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20150624 DATE AS OF CHANGE: 20150624 EFFECTIVENESS DATE: 20150624 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Histogen Inc. CENTRAL INDEX KEY: 0001645829 IRS NUMBER: 260461023 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-242366 FILM NUMBER: 15948581 BUSINESS ADDRESS: STREET 1: 10655 SORRENTO VALLEY ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 858-200-9520 MAIL ADDRESS: STREET 1: 10655 SORRENTO VALLEY ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 D 1 primary_doc.xml X0707 D LIVE 0001645829 Histogen Inc. 10655 SORRENTO VALLEY ROAD SAN DIEGO CA CALIFORNIA 92121 858-200-9520 DELAWARE None None Corporation true Gail Naughton 873 Eugenie Ave. Encinitas CA CALIFORNIA 92024 Executive Officer Biotechnology No Revenues 06c false true false true false 100000 WealthForge, LLC 152550 WealthForge, LLC 152550 6800 Paragon Place, Suite 237 Richmond VA VIRGINIA 23230 All States false 18000000 0 18000000 false 0 900000 true 0 WealthForge, LLC will be taking 5% commission on total amount raised. 0 false Histogen Inc. Gail Naughton Gail Naughton CEO 2015-06-24