0001659624-17-000002.txt : 20171220 0001659624-17-000002.hdr.sgml : 20171220 20171220114412 ACCESSION NUMBER: 0001659624-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171220 DATE AS OF CHANGE: 20171220 EFFECTIVENESS DATE: 20171220 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jivana Biotechnology Inc CENTRAL INDEX KEY: 0001659624 IRS NUMBER: 800963333 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-301246 FILM NUMBER: 171266030 BUSINESS ADDRESS: STREET 1: 542 FRANKLIN AVE CITY: RIVER FOREST STATE: IL ZIP: 60305 BUSINESS PHONE: 917-743-9401 MAIL ADDRESS: STREET 1: 542 FRANKLIN AVE CITY: RIVER FOREST STATE: IL ZIP: 60305 D 1 primary_doc.xml X0708 D LIVE 0001659624 Jivana Biotechnology Inc 1010 Lake Street, Suite 200 Oak Park IL ILLINOIS 60301 917-743-9401 DELAWARE Mariam Medical Inc. None Corporation true 2013 Sidney D. Hopps 1010 Lake Street, Suite 200 Oak Park IL ILLINOIS 60301 Executive Officer Director Kenneth J. Templin 1010 Lake Street, Suite 200 Oak Park IL ILLINOIS 60301 Executive Officer Director Bellur Prabhakar 1010 Lake Street, Suite 200 Oak Park IL ILLINOIS 60301 Executive Officer Director Patrick Sage 1010 Lake Street, Suite 200 Oak Park IL ILLINOIS 60301 Director Richard S. Schuler 1010 Lake Street, Suite 200 Oak Park IL ILLINOIS 60301 Director Biotechnology Not Applicable 06b false 2017-12-04 false true false 25000 2000000 65000 1935000 false 2 0 0 0 false Jivana Biotechnology Inc Sidney D. Hopps Sidney D. Hopps President 2017-12-18