0001213900-21-045961.txt : 20210901 0001213900-21-045961.hdr.sgml : 20210901 20210831185104 ACCESSION NUMBER: 0001213900-21-045961 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210901 DATE AS OF CHANGE: 20210831 EFFECTIVENESS DATE: 20210901 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: 021-411889 FILM NUMBER: 211228281 BUSINESS ADDRESS: STREET 1: 830 MENLO AVENUE, SUITE 100 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-507-0669 MAIL ADDRESS: STREET 1: 830 MENLO AVENUE, SUITE 100 CITY: MENLO PARK STATE: CA ZIP: 94025 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. 3000 EL CAMINO REAL BLDG. 4, SUITE 200 PALO ALTO CA CALIFORNIA 94306 650-507-0669 DELAWARE KBL Merger Corp. IV KBL MERGER CORP. IV Corporation true 2016 James N. Woody c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Executive Officer Director Ozan Pamir c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Executive Officer Marc Feldmann c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Director Lawrence Steinman c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Director Larry Gold c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Director Donald A. McGovern c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Director Pamela Marrone c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Director Francis Knuettel c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Director Teresa DeLuca c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Director Russel T. Ray c/o 180 Life Sciences Corp. 3000 El Camino Real, Bldg. 4, Suite 200 Palo Alto CA CALIFORNIA 94306 Director Biotechnology Decline to Disclose 06b false 2021-08-23 false true true true false 189498 Maxim Group LLC 120708 None None 300 PARK AVENUE 16TH FLOOR NEW YORK NY NEW YORK 10022 CT CONNECTICUT IL ILLINOIS NY NEW YORK true 15000000 15000000 0 false 12 1050000 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 2021-08-31