0001650648-18-000001.txt : 20180911 0001650648-18-000001.hdr.sgml : 20180911 20180911163953 ACCESSION NUMBER: 0001650648-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180911 DATE AS OF CHANGE: 20180911 EFFECTIVENESS DATE: 20180911 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: 021-321085 FILM NUMBER: 181065206 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 X0708 D LIVE 0001650648 4D Molecular Therapeutics Inc 5980 HORTON STREET SUITE 460 EMERYVILLE CA CALIFORNIA 94608 (510) 505-2680 DELAWARE None None Corporation true 2015 David Kirn, M.D. 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Executive Officer Director Peter Francis, M.D. 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Executive Officer Hoyoung Huh, M.D., Ph.D. c/o 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Director Theresa Janke 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Executive Officer Leisa Johnson, Ph.D. 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Executive Officer Margi McLaughlin c/o 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Director David Schaffer, Ph.D., 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Executive Officer Director Charles Theuer, Ph.D. c/o 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Director Tony Yao c/o 4D Molecular Therapeutics, Inc. 5980 Horton Street, Suite 460 Emeryville CA CALIFORNIA 94608 Director Biotechnology Decline to Disclose 06b false 2018-08-27 false true true false 0 N/A None None None N/A N/A N/A XX Unknown 00000 CA CALIFORNIA CO COLORADO CT CONNECTICUT IL ILLINOIS NY NEW YORK NC NORTH CAROLINA false 89999874 89999874 0 false 31 0 0 0 false 4D Molecular Therapeutics Inc /s/ Alan C. Mendelson Alan C. Mendelson Secretary 2018-09-11