0001680367-18-000003.txt : 20180525 0001680367-18-000003.hdr.sgml : 20180525 20180525114758 ACCESSION NUMBER: 0001680367-18-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180525 DATE AS OF CHANGE: 20180525 EFFECTIVENESS DATE: 20180525 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: 021-313282 FILM NUMBER: 18860396 BUSINESS ADDRESS: STREET 1: 3317 BOWMAN AVENUE CITY: AUSTIN STATE: TX ZIP: 78703 BUSINESS PHONE: 917-892-9996 MAIL ADDRESS: STREET 1: PO BOX 301509 CITY: AUSTIN STATE: TX ZIP: 78703 D 1 primary_doc.xml X0708 D LIVE 0001680367 Shattuck Labs, Inc. 3317 BOWMAN AVENUE AUSTIN TX TEXAS 78703 917-892-9996 DELAWARE None None Corporation true 2016 Josiah Hornblower c/o Shattuck Labs, Inc. 3317 Bowman Ave. Austin TX TEXAS 78703 Executive Officer Director G. Walter Loewenbaum c/o Shattuck Labs, Inc. 3317 Bowman Ave. Austin TX TEXAS 78703 Director Tyler Brous c/o Shattuck Labs, Inc. 3317 Bowman Ave. Austin TX TEXAS 78703 Director David G. Lowe c/o Shattuck Labs, Inc. 3317 Bowman Ave. Austin TX TEXAS 78703 Executive Officer Director Neil Gibson c/o Shattuck Labs, Inc. 3317 Bowman Ave. Austin TX TEXAS 78703 Director Taylor Schreiber c/o Shattuck Labs, Inc. 3317 Bowman Ave. Austin TX TEXAS 78703 Executive Officer Director Charles Dorrance c/o Shattuck Labs, Inc. 3317 Bowman Ave. Austin TX TEXAS 78703 Director Charles Golumbeski c/o Shattuck Labs, Inc. 3317 Bowman Ave. Austin TX TEXAS 78703 Director Biotechnology Decline to Disclose 06b false 2018-05-15 false true false 0 47319910 46618910 701000 Amounts above include principal and interest on notes that were converted into shares of preferred stock false 62 0 0 0 false Shattuck Labs, Inc. /s/ Josiah Hornblower Josiah Hornblower President/CEO 2018-05-24