0001691625-21-000002.txt : 20210526 0001691625-21-000002.hdr.sgml : 20210526 20210526160503 ACCESSION NUMBER: 0001691625-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210526 DATE AS OF CHANGE: 20210526 EFFECTIVENESS DATE: 20210526 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AXIAL THERAPEUTICS, 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: 021-400773 FILM NUMBER: 21965903 BUSINESS ADDRESS: STREET 1: 400 TRADECENTER DRIVE, SUITE 6990 CITY: WOBURN STATE: MA ZIP: 01801 BUSINESS PHONE: (781) 701-8484 MAIL ADDRESS: STREET 1: 400 TRADECENTER DRIVE, SUITE 6990 CITY: WOBURN STATE: MA ZIP: 01801 FORMER COMPANY: FORMER CONFORMED NAME: AXIAL BIOTHERAPEUTICS, INC. DATE OF NAME CHANGE: 20161206 D 1 primary_doc.xml X0708 D LIVE 0001691625 AXIAL THERAPEUTICS, INC. 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 (781) 701-8467 DELAWARE NEUROBIOTIX HEALTH, INC. AXIAL BIOTHERAPEUTICS, INC. Corporation true A. STEWART CAMPBELL 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Executive Officer Director JAMES C. BLAIR 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Director RICHARD P. ALDRICH 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Director SARKIS K. MAZMANIAN 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Director RONALD C. RENAUD JR. 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Director ERIC DE LA FORTELLE 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Director SAKAE ASANUMA 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Director SCOTT C. BRUN 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Director JEFFREY E. YOUNG 400 TRADECENTER DRIVE, SUITE 6990 WOBURN MA MASSACHUSETTS 01801 Executive Officer Pharmaceuticals Decline to Disclose 06b false 2021-05-11 false true true false 0 JMP SECURITIES LLC 22208 None None 600 MONTGOMERY ST, SUITE 1100 SAN FRANCISCO CA CALIFORNIA 94111 CA CALIFORNIA DE DELAWARE ID IDAHO IL ILLINOIS MA MASSACHUSETTS NV NEVADA NJ NEW JERSEY NC NORTH CAROLINA WY WYOMING false 20000000 4765696 15234304 false 30 0 500000 true 0 false AXIAL THERAPEUTICS, INC. /s/ Jeffrey E. Young Jeffrey E. Young Chief Financial Officer 2021-05-26