0001691625-17-000003.txt : 20170629 0001691625-17-000003.hdr.sgml : 20170629 20170629170941 ACCESSION NUMBER: 0001691625-17-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170629 DATE AS OF CHANGE: 20170629 EFFECTIVENESS DATE: 20170629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AXIAL BIOTHERAPEUTICS, INC. CENTRAL INDEX KEY: 0001691625 IRS NUMBER: 464394856 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-275764 FILM NUMBER: 17939303 BUSINESS ADDRESS: STREET 1: 745 BOYLSTON ST., SUITE 602 CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: (617) 874-5260 MAIL ADDRESS: STREET 1: 745 BOYLSTON ST., SUITE 602 CITY: BOSTON STATE: MA ZIP: 02116 D/A 1 primary_doc.xml X0707 D/A LIVE 0001691625 AXIAL BIOTHERAPEUTICS, INC. 745 BOYLSTON ST., SUITE 602 BOSTON MA MASSACHUSETTS 02116 (617) 874-5260 DELAWARE NEUROBIOTIX HEALTH, INC. None Corporation true 2013 DAVID H. DONABEDIAN 745 Boylston Street, Suite 602 BOSTON MA MASSACHUSETTS 02116 Executive Officer CHIEF EXECUTIVE OFFICER OF THE ISSUER JAMES C. BLAIR 745 Boylston Street, Suite 602 Boston MA MASSACHUSETTS 02116 Director MICHELLE DIPP 745 Boylston Street, Suite 602 BOSTON MA MASSACHUSETTS 02116 Director SARKIS K. MAZMANIAN 745 Boylston Street, Suite 602 Boston MA MASSACHUSETTS 02116 Director Ronald C. Renaud Jr. 745 Boylston Street, Suite 602 Boston MA MASSACHUSETTS 02116 Director Henry C. Wolf 745 Boylston Street, Suite 602 Boston MA MASSACHUSETTS 02116 Director Biotechnology Decline to Disclose 06b true 0001691625-16-000001 2016-11-22 false true false 150000 19150000 19150000 0 false 16 0 0 0 false AXIAL BIOTHERAPEUTICS, INC. /s/ David H. Donabedian David H. Donabedian Chief Executive Officer 2017-06-29