0001695653-17-000001.txt : 20170127 0001695653-17-000001.hdr.sgml : 20170127 20170127110348 ACCESSION NUMBER: 0001695653-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170127 DATE AS OF CHANGE: 20170127 EFFECTIVENESS DATE: 20170127 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CycloSam Therapeutics, LLC CENTRAL INDEX KEY: 0001695653 IRS NUMBER: 814289554 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-279442 FILM NUMBER: 17552272 BUSINESS ADDRESS: STREET 1: 1004 S. VELASCO STREET CITY: ANGLETON STATE: TX ZIP: 77515 BUSINESS PHONE: 979.848.0800 MAIL ADDRESS: STREET 1: 1004 S. VELASCO STREET CITY: ANGLETON STATE: TX ZIP: 77515 D 1 primary_doc.xml X0707 D LIVE 0001695653 CycloSam Therapeutics, LLC 1004 S. VELASCO STREET ANGLETON TX TEXAS 77515 979.848.0800 TEXAS None None Limited Liability Company true 2016 R Keith Frank 213 Pansy Path Lake Jackson TX TEXAS 77566 Executive Officer Director Promoter Jaime Simon 316 CR 605 Angleton TX TEXAS 77515 Executive Officer Director Stephen R Ellebracht 21528 Highway B Sedalia MO MISSOURI 65201 Director Joseph P Rybak 469 Pecan Estates Rd Angleton TX TEXAS 77515 Director Other Health Care No Revenues 06b false 2017-01-23 false true true false 200000 500000 200000 300000 false 2 0 0 0 false CycloSam Therapeutics, LLC R Keith Frank R Keith Frank President 2017-01-27