0001701524-17-000001.txt : 20170405 0001701524-17-000001.hdr.sgml : 20170405 20170405130837 ACCESSION NUMBER: 0001701524-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170405 DATE AS OF CHANGE: 20170405 EFFECTIVENESS DATE: 20170405 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Willow Neuroscience, Inc. CENTRAL INDEX KEY: 0001701524 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-284094 FILM NUMBER: 17741847 BUSINESS ADDRESS: STREET 1: 1900 POWELL STREET STREET 2: 6TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 BUSINESS PHONE: 510-588-8840 MAIL ADDRESS: STREET 1: 1900 POWELL STREET STREET 2: 6TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 D 1 primary_doc.xml X0707 D LIVE 0001701524 Willow Neuroscience, Inc. 1900 POWELL STREET 6TH FLOOR EMERYVILLE CA CALIFORNIA 94608 510-588-8840 DELAWARE None None Corporation true 2016 Michael C. Venuti c/o Willow Neuroscience, Inc. 1900 Powell Street, 6th Floor Emeryville CA CALIFORNIA 94608 Executive Officer Mark P. de Souza c/o Willow Neuroscience, Inc. 1900 Powell Street, 6th Floor Emeryville CA CALIFORNIA 94608 Executive Officer Director Katrin I. Andreasson c/o Willow Neuroscience, Inc. 1900 Powell Street, 6th Floor Emeryville CA CALIFORNIA 94608 Director John Kincaid c/o Willow Neuroscience, Inc. 1900 Powell Street, 6th Floor Emeryville CA CALIFORNIA 94608 Executive Officer Director Biotechnology Decline to Disclose 06b false 2017-03-22 true true false 0 54000 25200 28800 false 3 0 0 0 false Willow Neuroscience, Inc. /s/ Mark P. de Souza Mark P. de Souza Director and Treasurer 2017-04-05