0001645829-16-000010.txt : 20160829 0001645829-16-000010.hdr.sgml : 20160829 20160829164810 ACCESSION NUMBER: 0001645829-16-000010 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20160829 DATE AS OF CHANGE: 20160829 EFFECTIVENESS DATE: 20160829 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: 021-269733 FILM NUMBER: 161858370 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 10655 Sorrento Valley Road San Diego CA CALIFORNIA 92121 Executive Officer Director Brian Satz 10655 Sorrento Valley Road San Diego CA CALIFORNIA 92121 Director Jonathan Jackson 10655 Sorrento Valley Road San Diego CA CALIFORNIA 92121 Director Yizhuo Zhang 10655 Sorrento Valley Road San Diego CA CALIFORNIA 92121 Director Stephen Chang 10655 Sorrento Valley Road San Diego CA CALIFORNIA 92121 Director Biotechnology Decline to Disclose 06c false 2016-08-10 false true false 0 6000000 6000000 0 false 1 0 0 0 true false Histogen Inc. /s/ Gail Naughton Gail Naughton Chief Executive Officer 2016-08-29