0001691625-20-000001.txt : 20200522 0001691625-20-000001.hdr.sgml : 20200522 20200522133257 ACCESSION NUMBER: 0001691625-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200522 DATE AS OF CHANGE: 20200522 EFFECTIVENESS DATE: 20200522 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: 021-367556 FILM NUMBER: 20905014 BUSINESS ADDRESS: STREET 1: 9 FOURTH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: (617) 874-5260 MAIL ADDRESS: STREET 1: 9 FOURTH AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 D 1 primary_doc.xml X0708 D LIVE 0001691625 AXIAL BIOTHERAPEUTICS, INC. 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 781-701-8468 DELAWARE NEUROBIOTIX HEALTH, INC. None Corporation true DAVID H. DONABEDIAN 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Executive Officer Director JAMES C. BLAIR 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Director RICHARD P. ALDRICH 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Director SARKIS K. MAZMANIAN 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Director Ronald C. Renaud Jr. 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Director Henry C. Wolf 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Director Eric De La Fortelle 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Director SAKAE ASANUMA 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Director SCOTT C. BRUN 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Director JEFFREY YOUNG 9 FOURTH AVENUE WALTHAM MA MASSACHUSETTS 02451 Executive Officer Pharmaceuticals Decline to Disclose 06b false 2020-05-07 false true true false 0 8000000 7825000 175000 false 21 0 0 0 false AXIAL BIOTHERAPEUTICS, INC. /s/ David H. Donabedian David H. Donabedian Chief Executive Officer 2020-05-22