0001104659-21-041745.txt : 20210326 0001104659-21-041745.hdr.sgml : 20210326 20210326060614 ACCESSION NUMBER: 0001104659-21-041745 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210326 DATE AS OF CHANGE: 20210326 EFFECTIVENESS DATE: 20210326 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Scipher Medicine Corp CENTRAL INDEX KEY: 0001658821 IRS NUMBER: 463927710 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-393626 FILM NUMBER: 21774570 BUSINESS ADDRESS: STREET 1: C/O FOLEY & LARDNER LLP STREET 2: 111 HUNTINGTON AVENUE, 26TH FLOOR CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: (617) 580-1777 MAIL ADDRESS: STREET 1: C/O FOLEY & LARDNER LLP STREET 2: 111 HUNTINGTON AVENUE, 26TH FLOOR CITY: BOSTON STATE: MA ZIP: 02199 FORMER COMPANY: FORMER CONFORMED NAME: DZZOM Delaware Corp. DATE OF NAME CHANGE: 20151118 D 1 primary_doc.xml X0708 D LIVE 0001658821 Scipher Medicine Corp 221 CRESCENT STREET, SUITE 103A WALTHAM MA MASSACHUSETTS 02453 (781) 264-6969 DELAWARE None DZZOM Delaware Corp. Corporation true Alif Saleh c/o Scipher Medicine Corporation 221 Crescent Street, Suite 103A Waltham MA MASSACHUSETTS 02453 Executive Officer Director Miklos Kobor c/o Scipher Medicine Corporation 221 Crescent Street, Suite 103A Waltham MA MASSACHUSETTS 02453 Director Albert Laszlo Barabasi c/o Scipher Medicine Corporation 221 Crescent Street, Suite 103A Waltham MA MASSACHUSETTS 02453 Director Joseph Loscalzo c/o Scipher Medicine Corporation 221 Crescent Street, Suite 103A Waltham MA MASSACHUSETTS 02453 Director Samir Kaul c/o Scipher Medicine Corporation 221 Crescent Street, Suite 103A Waltham MA MASSACHUSETTS 02453 Director Michael Rubin c/o Scipher Medicine Corporation 221 Crescent Street, Suite 103A Waltham MA MASSACHUSETTS 02453 Director Todd Sone c/o Scipher Medicine Corporation 221 Crescent Street, Suite 103A Waltham MA MASSACHUSETTS 02453 Director Jeffrey Sachs c/o Scipher Medicine Corporation 221 Crescent Street, Suite 103A Waltham MA MASSACHUSETTS 02453 Executive Officer Biotechnology Decline to Disclose 06b false 2021-03-12 false true false 80000 81999988 81999988 0 false 12 0 0 0 None except for normal operation expenses false Scipher Medicine Corp /s/ Jeffrey Sachs Jeffrey Sachs Secretary 2021-03-15