0001140361-17-010503.txt : 20170303 0001140361-17-010503.hdr.sgml : 20170303 20170303152427 ACCESSION NUMBER: 0001140361-17-010503 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170303 DATE AS OF CHANGE: 20170303 EFFECTIVENESS DATE: 20170303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Illustris Pharmaceuticals Inc. CENTRAL INDEX KEY: 0001697743 IRS NUMBER: 811311174 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-281774 FILM NUMBER: 17663205 BUSINESS ADDRESS: STREET 1: 555 BRYANT STREET, #817 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 650-334-2095 MAIL ADDRESS: STREET 1: 4030 FABIAN WAY SUITE B CITY: PALO ALTO STATE: CA ZIP: 94303 D 1 primary_doc.xml X0707 D LIVE 0001697743 Illustris Pharmaceuticals Inc. 4030 Fabian Way, Suite B PALO ALTO CA CALIFORNIA 94303 650-334-2095 DELAWARE None None Corporation true 2016 Mark Prygocki 4030 Fabian Way, Suite B Palo Alto CA CALIFORNIA 94303 Director Executive Officer Jacob M. Waugh 4030 Fabian Way, Suite B Palo Alto CA CALIFORNIA 94303 Executive Officer Director Gloria Vasquez 4030 Fabian Way, Suite B Palo Alto CA CALIFORNIA 94303 Executive Officer Jaehoon Lee 4030 Fabian Way, Suite B Palo Alto CA CALIFORNIA 94303 Executive Officer Siak Khim Tan 4030 Fabian Way, Suite B Palo Alto CA CALIFORNIA 94303 Director Jonah Shacknai 4030 Fabian Way, Suite B Palo Alto CA CALIFORNIA 94303 Director Andrew Hirschberg 4030 Fabian Way, suite B Palo Alto CA CALIFORNIA 94303 Director Biotechnology Decline to Disclose 06b false 2016-12-16 false true false 0 5000000 5000000 0 true 0 14 0 0 0 false Illustris Pharmaceuticals Inc. /s/ Gloria Vasquez Gloria Vasquez Treasurer 2017-02-27