0001676446-17-000004.txt : 20170814 0001676446-17-000004.hdr.sgml : 20170814 20170814141702 ACCESSION NUMBER: 0001676446-17-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170814 DATE AS OF CHANGE: 20170814 EFFECTIVENESS DATE: 20170814 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Freenome Holdings, Inc. CENTRAL INDEX KEY: 0001676446 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-288212 FILM NUMBER: 171029245 BUSINESS ADDRESS: STREET 1: 259 E GRAND AVENUE CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: (831) 704-6883 MAIL ADDRESS: STREET 1: 259 E GRAND AVENUE CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 D/A 1 primary_doc.xml X0708 D/A LIVE 0001676446 Freenome Holdings, Inc. 259 E GRAND AVENUE SOUTH SAN FRANCISCO CA CALIFORNIA 94080 (831) 704-6883 DELAWARE None None Corporation true 2016 Gabriel Otte 259 E. Grand Avenue South San Francisco CA CALIFORNIA 94080 Executive Officer Director Vijay Pande 259 E. Grand Avenue South San Francisco CA CALIFORNIA 94080 Director Riley Ennis 259 E. Grand Avenue South San Francisco CA CALIFORNIA 94080 Executive Officer Director Other Decline to Disclose 06b true 0001676446-17-000002 2017-02-23 false true false 0 71999965 71999965 0 Series A Preferred Stock; Common Stock issuable upon conversion false 24 0 0 0 true false Freenome Holdings, Inc. /s/Gabriel Otte Gabriel Otte Chief Executive Officer 2017-08-14