0001680367-20-000003.txt : 20200623 0001680367-20-000003.hdr.sgml : 20200623 20200623145145 ACCESSION NUMBER: 0001680367-20-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200623 DATE AS OF CHANGE: 20200623 EFFECTIVENESS DATE: 20200623 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: 021-369518 FILM NUMBER: 20981665 BUSINESS ADDRESS: STREET 1: 1018 W. 11TH STREET CITY: AUSTIN STATE: TX ZIP: 78703 BUSINESS PHONE: 919-864-2700 MAIL ADDRESS: STREET 1: 1018 W. 11TH STREET CITY: AUSTIN STATE: TX ZIP: 78703 D 1 primary_doc.xml X0708 D LIVE 0001680367 Shattuck Labs, Inc. 1018 W. 11TH STREET AUSTIN TX TEXAS 78703 919-864-2700 DELAWARE None None Corporation true 2016 Taylor Schreiber c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Executive Officer Director Josiah Hornblower c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Director G. Walter Loewenbaum c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Director Tyler Brous c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Director Neil Gibson c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Director Charles Dorrance c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Director George Golumbeski c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Director Mike Lee c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Director Victor Stone c/o Shattuck Labs, Inc. 1018 W. 11th Street Austin TX TEXAS 78703 Director Biotechnology Decline to Disclose 06b false 2020-06-12 false true false 0 83000009 83000009 0 false 32 0 0 0 true false Shattuck Labs, Inc. Taylor Schreiber, MD, PhD Taylor Schreiber Chief Executive Officer 2020-06-19