0001650648-15-000002.txt : 20151019 0001650648-15-000002.hdr.sgml : 20151019 20151019132102 ACCESSION NUMBER: 0001650648-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151019 DATE AS OF CHANGE: 20151019 EFFECTIVENESS DATE: 20151019 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: 021-249653 FILM NUMBER: 151163834 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 Sharon Tetlow 5980 Horton Street Suite 460 Emeryville CA CALIFORNIA 94608 Director Margi McLoughlin 230 East Grand South San Francisco CA CALIFORNIA 94080 Director Biotechnology Decline to Disclose 06b false 2015-10-06 false true false 0 11594002 11594002 0 false 2 0 0 0 false 4D Molecular Therapeutics Inc Deborah A. Marshall Deborah A. Marshall Assistant Secretary 2015-10-13