0001979814-23-000002.txt : 20230609 0001979814-23-000002.hdr.sgml : 20230609 20230609140723 ACCESSION NUMBER: 0001979814-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230609 DATE AS OF CHANGE: 20230609 EFFECTIVENESS DATE: 20230609 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Adaptive Phage Therapeutics, Inc. CENTRAL INDEX KEY: 0001701259 IRS NUMBER: 814208730 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-483867 FILM NUMBER: 231004777 BUSINESS ADDRESS: STREET 1: 22 FIRSTFIELD ROAD STREET 2: SUITE 125 CITY: GAITHERSBURG STATE: MD ZIP: 20878 BUSINESS PHONE: 2408992532 MAIL ADDRESS: STREET 1: 22 FIRSTFIELD ROAD STREET 2: SUITE 125 CITY: GAITHERSBURG STATE: MD ZIP: 20878 D 1 primary_doc.xml X0708 D LIVE 0001701259 Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road GAITHERSBURG MD MARYLAND 20878 8449720500 DELAWARE None None Corporation true Gregory L. Merril C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Executive Officer Director Promoter Carl R. Merril C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Director Raymond L. Martz C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Director Jonathan Leff C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Director Jana Jensen C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Director Evan Loh C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Director Ian Hardy C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Director Martin Heidecker C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Director Jesse Goodman C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Director Subhendu Basu C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Executive Officer Michael Orndorff C/o Adaptive Phage Therapeutics, Inc. 708 Quince Orchard Road Gaithersburg MD MARYLAND 20878 Executive Officer Biotechnology Decline to Disclose 06b false 2023-05-25 false true false 0 30000000 11999999 18000001 false 4 0 0 0 false Adaptive Phage Therapeutics, Inc. /s/Gregory L. Merril Gregory L. Merril Chief Executive Officer 2023-06-09