0001657677-15-000002.txt : 20151113 0001657677-15-000002.hdr.sgml : 20151113 20151113140816 ACCESSION NUMBER: 0001657677-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151113 DATE AS OF CHANGE: 20151113 EFFECTIVENESS DATE: 20151113 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FOG PHARMACEUTICALS, INC. CENTRAL INDEX KEY: 0001657677 IRS NUMBER: 474505725 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-251210 FILM NUMBER: 151228433 BUSINESS ADDRESS: STREET 1: 20 ROWES WHARF STREET 2: SUITE 410 CITY: GLOUCESTER STATE: MA ZIP: 01930 BUSINESS PHONE: 781-929-9187 MAIL ADDRESS: STREET 1: 20 ROWES WHARF STREET 2: SUITE 410 CITY: GLOUCESTER STATE: MA ZIP: 01930 D 1 primary_doc.xml X0707 D LIVE 0001657677 FOG PHARMACEUTICALS, INC. 20 Rowes Wharf Suite 410 BOSTON MA MASSACHUSETTS 02110 781-929-9187 DELAWARE None None Corporation true 2015 Gregory L Verdine 20 Rowes Wharf Suite 410 BOSTON MA MASSACHUSETTS 02110 Executive Officer Director Pharmaceuticals Decline to Disclose 06b false 2015-11-02 false true true Convertible Promissory Notes false 0 Indefinite 625000 Indefinite false 4 0 0 125000 true false FOG PHARMACEUTICALS, INC. /s/ Gregory L. Verdine Gregory L. Verdine President 2015-11-13