0001667633-16-000001.txt : 20160303 0001667633-16-000001.hdr.sgml : 20160303 20160302180118 ACCESSION NUMBER: 0001667633-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160303 DATE AS OF CHANGE: 20160302 EFFECTIVENESS DATE: 20160303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forty Seven, Inc. CENTRAL INDEX KEY: 0001667633 IRS NUMBER: 474065674 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-258450 FILM NUMBER: 161478752 BUSINESS ADDRESS: STREET 1: 1661 PAGE MILL ROAD, SUITE C CITY: PALO ALTO STATE: CA ZIP: 94304 BUSINESS PHONE: (650) 352-4150 MAIL ADDRESS: STREET 1: 1661 PAGE MILL ROAD, SUITE C CITY: PALO ALTO STATE: CA ZIP: 94304 D 1 primary_doc.xml X0707 D LIVE 0001667633 Forty Seven, Inc. 1661 PAGE MILL ROAD, SUITE C PALO ALTO CA CALIFORNIA 94304 (650) 352-4150 DELAWARE CD47 Sciences, Inc. Forty-Seven, Inc. None Corporation true 2014 Jonathan MacQuitty c/o Forty Seven, Inc. 1661 Page Mill Road, Suite C Palo Alto CA CALIFORNIA 94304 Executive Officer Director Irving Weissman c/o Forty Seven, Inc. 1661 Page Mill Road, Suite C Palo Alto CA CALIFORNIA 94304 Director Ravindra Majeti c/o Forty Seven, Inc. 1661 Page Mill Road, Suite C Palo Alto CA CALIFORNIA 94304 Director Christopher Schaepe c/o Forty Seven, Inc. 1661 Page Mill Road, Suite C Palo Alto CA CALIFORNIA 94304 Director Jeffrey Bird c/o Forty Seven, Inc. 1661 Page Mill Road, Suite C Palo Alto CA CALIFORNIA 94304 Director Dennis Henner c/o Forty Seven, Inc. 1661 Page Mill Road, Suite C Palo Alto CA CALIFORNIA 94304 Director Eric Jensen c/o Cooley LLP 3175 Hanover Street Palo Alto CA CALIFORNIA 94304 Executive Officer Pharmaceuticals Decline to Disclose 06b false 2015-11-23 false true false 0 74800000 34093182 40706818 false 32 0 0 0 false Forty Seven, Inc. /s/Jonathan MacQuitty Jonathan MacQuitty Chief Executive Officer 2016-03-01