0001691625-18-000001.txt : 20181121 0001691625-18-000001.hdr.sgml : 20181121 20181121171217 ACCESSION NUMBER: 0001691625-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181121 DATE AS OF CHANGE: 20181121 EFFECTIVENESS DATE: 20181121 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-326396 FILM NUMBER: 181198798 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 1 primary_doc.xml X0708 D LIVE 0001691625 AXIAL BIOTHERAPEUTICS, INC. 745 BOYLSTON ST., 6th FLOOR SUITE 602 BOSTON MA MASSACHUSETTS 02116 (617) 874-5260 DELAWARE NEUROBIOTIX HEALTH, INC. None Corporation true 2013 DAVID H. DONABEDIAN 745 Boylston Street, 6th Floor Suite 602 BOSTON MA MASSACHUSETTS 02116 Executive Officer Director JAMES C. BLAIR 745 Boylston Street, 6th Floor Suite 602 Boston MA MASSACHUSETTS 02116 Director RICHARD P. ALDRICH 745 Boylston Street, 6th Floor 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, 6th Floor Suite 602 Boston MA MASSACHUSETTS 02116 Director Henry C. Wolf 745 Boylston Street, 6th Floor Suite 602 Boston MA MASSACHUSETTS 02116 Director JEFFREY YOUNG 745 Boylston Street, 6th Floor Suite 602 Boston MA MASSACHUSETTS 02116 Executive Officer Pharmaceuticals Decline to Disclose 06b false 2018-11-09 false true false 0 28000000 20026439 7973561 false 36 0 0 0 false AXIAL BIOTHERAPEUTICS, INC. /s/ David H. Donabedian David H. Donabedian Chief Executive Officer 2018-11-21