0001578563-20-000012.txt : 20200407 0001578563-20-000012.hdr.sgml : 20200407 20200407115347 ACCESSION NUMBER: 0001578563-20-000012 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200407 DATE AS OF CHANGE: 20200407 EFFECTIVENESS DATE: 20200407 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EYENOVIA, INC. CENTRAL INDEX KEY: 0001682639 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 471178401 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-364440 FILM NUMBER: 20778873 BUSINESS ADDRESS: STREET 1: 295 MADISON AVENUE, STREET 2: SUITE 2400 CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 813-766-9539 MAIL ADDRESS: STREET 1: 295 MADISON AVENUE, STREET 2: SUITE 2400 CITY: NEW YORK STATE: NY ZIP: 10017 D 1 primary_doc.xml X0708 D LIVE 0001682639 EYENOVIA, INC. 295 MADISON AVENUE, SUITE 2400 NEW YORK NY NEW YORK 10017 917-289-1117 DELAWARE PGP Holdings V, Inc. None Corporation true Tsontcho Ianchulev c/o Eyenovia, Inc. 295 Madison Avenue, Suite 2400 NEW YORK NY NEW YORK 10017 Executive Officer Director Chief Executive Officer Curt LaBelle c/o Eyenovia, Inc. 295 Madison Avenue, Suite 2400 NEW YORK NY NEW YORK 10017 Director Ernest Mario c/o Eyenovia, Inc. 295 Madison Avenue, Suite 2400 NEW YORK NY NEW YORK 10017 Director Charles Mather c/o Eyenovia, Inc. 295 Madison Avenue, Suite 2400 NEW YORK NY NEW YORK 10017 Director Kenneth Lee c/o Eyenovia, Inc. 295 Madison Avenue, Suite 2400 NEW YORK NY NEW YORK 10017 Director Anthony Sun c/o Eyenovia, Inc. 295 Madison Avenue, Suite 2400 NEW YORK NY NEW YORK 10017 Director Fredric Eshelman c/o Eyenovia, Inc. 295 Madison Avenue, Suite 2400 NEW YORK NY NEW YORK 10017 Director John Gandolfo c/o Eyenovia, Inc. 295 Madison Avenue, Suite 2400 NEW YORK NY NEW YORK 10017 Executive Officer Chief Financial Officer Pharmaceuticals Decline to Disclose 06b false 2020-03-24 false true true true false 15000 National Securities Corporation 7569 None None 200 Vesey Street 25th Floor NEW YORK NY NEW YORK 10281 All States false 5985000 5985000 0 false 82 340794 0 0 false EYENOVIA, INC. /s/ John P. Gandolfo John P. Gandolfo Chief Financial Officer 2020-04-03