0001650648-15-000001.txt : 20150813 0001650648-15-000001.hdr.sgml : 20150813 20150813173016 ACCESSION NUMBER: 0001650648-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150813 DATE AS OF CHANGE: 20150813 EFFECTIVENESS DATE: 20150813 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 4D Molecular Therapeutics Inc CENTRAL INDEX KEY: 0001650648 IRS NUMBER: 473506994 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-245752 FILM NUMBER: 151051745 BUSINESS ADDRESS: STREET 1: 5980 HORTON STREET STREET 2: SUITE 460 CITY: EMERYVILLE STATE: CA ZIP: 94608 BUSINESS PHONE: 5105052680 MAIL ADDRESS: STREET 1: 5980 HORTON STREET STREET 2: SUITE 460 CITY: EMERYVILLE STATE: CA ZIP: 94608 D 1 primary_doc.xml X0707 D LIVE 0001650648 4D Molecular Therapeutics Inc 5980 HORTON STREET SUITE 460 EMERYVILLE CA CALIFORNIA 94608 5105052680 DELAWARE None None Corporation true 2015 David Kirn 5980 Horton Street Suite 460 Emeryville CA CALIFORNIA 94608 Executive Officer Director Theresa Janke 5980 Horton Street Suite 460 Emeryville CA CALIFORNIA 94608 Executive Officer David Schaffer 5980 Horton Street Suite 460 Emeryville CA CALIFORNIA 94608 Director Biotechnology Decline to Disclose 06b false 2015-08-11 false true false 0 6999995 6999995 0 false 1 0 0 0 false 4D Molecular Therapeutics Inc Deborah A. Marshall Deborah A. Marshall Assistant Secretary 2015-08-12