0001657369-15-000002.txt : 20160104 0001657369-15-000002.hdr.sgml : 20160101 20151231175852 ACCESSION NUMBER: 0001657369-15-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160104 DATE AS OF CHANGE: 20151231 EFFECTIVENESS DATE: 20160104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MD Revolution, Inc. CENTRAL INDEX KEY: 0001657369 IRS NUMBER: 452485559 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-250694 FILM NUMBER: 151316282 BUSINESS ADDRESS: STREET 1: 9191 TOWNE CENTRE DR. SUITE 510 CITY: SAN DIEGO STATE: CA ZIP: 92122 BUSINESS PHONE: 858-847-5064 MAIL ADDRESS: STREET 1: 9191 TOWNE CENTRE DR. SUITE 510 CITY: SAN DIEGO STATE: CA ZIP: 92122 D/A 1 primary_doc.xml X0707 D/A LIVE 0001657369 MD Revolution, Inc. 9191 TOWNE CENTRE DR. SUITE 510 SAN DIEGO CA CALIFORNIA 92122 858-847-5064 DELAWARE La Jolla Institute of Personalized Medicine LLC MDRevolution LLC MDRevolution, Inc. None Corporation true 2011 Arthur Roke c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Executive Officer Samir Damani c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Executive Officer Director Dave Neustaedter c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Director Gordon Clark c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Director Jacqueline Kosecoff c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Director Jean Balgrosky c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Executive Officer Director Garrett Vygantas c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Director Pratik Patel c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Executive Officer Other Decline to Disclose 06b true 0001657369-15-000001 2015-10-23 false true false 150000 Leerink Partners LLC 39011 None None 1 Federal Street, 37th floor Boston MA MASSACHUSETTS 02110 CA CALIFORNIA CO COLORADO FL FLORIDA IL ILLINOIS MD MARYLAND MA MASSACHUSETTS MN MINNESOTA NJ NEW JERSEY NY NEW YORK OH OHIO TX TEXAS WA WASHINGTON false 23485362 23485362 0 $11,255,364.04 cancellation of indebtedness; $12,229,997.11 new cash false 84 500000 0 0 false MD Revolution, Inc. /s/ Arthur Roke Arthur Roke Chief Financial Officer 2015-12-31