0001660334-17-000003.txt : 20171222 0001660334-17-000003.hdr.sgml : 20171222 20171222105703 ACCESSION NUMBER: 0001660334-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171222 DATE AS OF CHANGE: 20171222 EFFECTIVENESS DATE: 20171222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Verrica Pharmaceuticals Inc. CENTRAL INDEX KEY: 0001660334 IRS NUMBER: 463137900 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-301519 FILM NUMBER: 171271618 BUSINESS ADDRESS: STREET 1: 918 MCCUE AVENUE CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: (510) 409-5791 MAIL ADDRESS: STREET 1: 918 MCCUE AVENUE CITY: SAN CARLOS STATE: CA ZIP: 94070 D 1 primary_doc.xml X0708 D LIVE 0001660334 Verrica Pharmaceuticals Inc. 200 Garrett Street Suite S Charlottesville VA VIRGINIA 22902 434-980-8105 DELAWARE None None Corporation true 2013 Matthew Davidson 200 Garrett Street Suite S Charlottesville VA VIRGINIA 22902 Executive Officer Director Promoter Sean Stalfort 200 Garrett Street Suite S Charlottesville VA VIRGINIA 22902 Director Promoter Jayson Rieger 200 Garrett Street Suite S Charlottesville VA VIRGINIA 22902 Executive Officer Director Promoter Paul Manning 200 Garrett Street Suite S Charlottesville VA VIRGINIA 22902 Executive Officer Director Promoter Glenn Oclassen 200 Garrett Street Suite S Charlottesville VA VIRGINIA 22902 Director Promoter James C. Reebals 200 Garrett Street Suite S Charlottesville VA VIRGINIA 22902 Executive Officer Promoter Pharmaceuticals Decline to Disclose 06b false 2017-12-15 false true false 5000000 5000000 5000000 0 false 1 0 0 0 true false Verrica Pharmaceuticals Inc. /James C. Reebals/ James C. Reebals CFO 2017-12-22