0001645829-15-000008.txt : 20150629 0001645829-15-000008.hdr.sgml : 20150629 20150629115438 ACCESSION NUMBER: 0001645829-15-000008 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20150629 DATE AS OF CHANGE: 20150629 EFFECTIVENESS DATE: 20150629 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-242366 FILM NUMBER: 15957129 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/A 1 primary_doc.xml X0707 D/A 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 true 0001645829-15-000004 true false true false 100000 WealthForge, LLC 152550 WealthForge, LLC 152550 6800 Paragon Place, Suite 237 Richmond VA VIRGINIA 23230 All States false Gar Wood Securities 138033 Gar Wood Securities 138033 440 S. Lasalle Street, Suite 2201 Chicago IL ILLINOIS 60605 AL ALABAMA AZ ARIZONA CA CALIFORNIA CO COLORADO CT CONNECTICUT FL FLORIDA GA GEORGIA HI HAWAII ID IDAHO IL ILLINOIS IN INDIANA IA IOWA KS KANSAS KY KENTUCKY LA LOUISIANA MD MARYLAND MA MASSACHUSETTS MI MICHIGAN MN MINNESOTA MS MISSISSIPPI MO MISSOURI MT MONTANA NV NEVADA NJ NEW JERSEY NM NEW MEXICO NY NEW YORK NC NORTH CAROLINA OH OHIO OK OKLAHOMA OR OREGON PA PENNSYLVANIA PR PUERTO RICO SC SOUTH CAROLINA TN TENNESSEE TX TEXAS UT UTAH VA VIRGINIA WA WASHINGTON WV WEST VIRGINIA WI WISCONSIN 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 2015-06-29