0001680367-17-000001.txt : 20170405 0001680367-17-000001.hdr.sgml : 20170405 20170405112556 ACCESSION NUMBER: 0001680367-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170405 DATE AS OF CHANGE: 20170405 EFFECTIVENESS DATE: 20170405 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Shattuck Labs, Inc. CENTRAL INDEX KEY: 0001680367 IRS NUMBER: 812575858 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-284078 FILM NUMBER: 17741602 BUSINESS ADDRESS: STREET 1: 3317 BOWMAN AVENUE CITY: AUSTIN STATE: TX ZIP: 78703 BUSINESS PHONE: 917-892-9996 MAIL ADDRESS: STREET 1: 3317 BOWMAN AVENUE CITY: AUSTIN STATE: TX ZIP: 78703 D 1 primary_doc.xml X0707 D LIVE 0001680367 Shattuck Labs, Inc. 3317 BOWMAN AVENUE AUSTIN TX TEXAS 78703 917-892-9996 DELAWARE None None Corporation true 2016 Josiah Hornblower 3317 Bowman Avenue Austin TX TEXAS 78703 Executive Officer Director President/ CEO G. Walter Loewenbaum 1000 Westbank Drive Suite 2A Austin TX TEXAS 78746 Director Tyler Brous 3889 Maple Avenue, #125 c/o Lennox Dallas Partners Dallas TX TEXAS 75219 Director David G. Lowe 8524 Parismina Lane Austin TX TEXAS 78735 Director Neil Gibson 5742 Brittany Forrest Avenue San Diego CA CALIFORNIA 92130 Director Taylor Schreiber 3611 Rugby Road Durham NC NORTH CAROLINA 27707 Executive Officer Director Biotechnology Decline to Disclose 06b false 2017-03-24 false true true false 0 7000000 7000000 0 false 27 0 0 0 false Shattuck Labs, Inc. /S/ JOSIAH HORNBLOWER Josiah Hornblower President/CEO 2017-04-03