0001213900-21-011936.txt : 20210226 0001213900-21-011936.hdr.sgml : 20210226 20210226090207 ACCESSION NUMBER: 0001213900-21-011936 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210226 DATE AS OF CHANGE: 20210226 EFFECTIVENESS DATE: 20210226 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 180 Life Sciences Corp. CENTRAL INDEX KEY: 0001690080 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 813832378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-390604 FILM NUMBER: 21684060 BUSINESS ADDRESS: STREET 1: 150 WEST 56TH STREET SUITE 5901 CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 212-319-5555 MAIL ADDRESS: STREET 1: 150 WEST 56TH STREET SUITE 5901 CITY: NEW YORK STATE: NY ZIP: 10019 FORMER COMPANY: FORMER CONFORMED NAME: KBL MERGER CORP. IV DATE OF NAME CHANGE: 20161115 D 1 primary_doc.xml X0708 D LIVE 0001690080 180 Life Sciences Corp. 830 MENLO AVENUE SUITE 100 MENLO PARK CA CALIFORNIA 94025 650-854-4400 DELAWARE KBL Merger Corp. IV KBL MERGER CORP. IV Corporation true 2016 James N. Woody c/o 180 Life Sciences Corp. 830 Menlo Avenue, Suite 100 Menlo Park CA CALIFORNIA 94025 Executive Officer Director Ozan Pamir c/o 180 Life Sciences Corp. 830 Menlo Avenue, Suite 100 Menlo Park CA CALIFORNIA 94025 Executive Officer Marc Feldmann c/o 180 Life Sciences Corp. 830 Menlo Avenue, Suite 100 Menlo Park CA CALIFORNIA 94025 Director Lawrence Steinman c/o 180 Life Sciences Corp. 830 Menlo Avenue, Suite 100 Menlo Park CA CALIFORNIA 94025 Director Larry Gold c/o 180 Life Sciences Corp. 830 Menlo Avenue, Suite 100 Menlo Park CA CALIFORNIA 94025 Director Donald A. McGovern c/o 180 Life Sciences Corp. 830 Menlo Avenue, Suite 100 Menlo Park CA CALIFORNIA 94025 Director Pharmaceuticals Decline to Disclose 06b false 2021-02-23 false true true true false 555100 Maxim Group LLC 120708 None None 405 LEXINGTON AVENUE SUITE 400 NEW YORK NY NEW YORK 10174 IL ILLINOIS NY NEW YORK true 11666200 11666200 0 false 11 816634 0 0 false 180 Life Sciences Corp. /s/ James N. Woody, M.D., Ph.D James N. Woody, M.D., Ph.D. Chief Executive Officer 2021-02-26