0001711459-21-000001.txt : 20210714 0001711459-21-000001.hdr.sgml : 20210714 20210714122423 ACCESSION NUMBER: 0001711459-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210714 DATE AS OF CHANGE: 20210714 EFFECTIVENESS DATE: 20210714 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prellis Biologics, Inc CENTRAL INDEX KEY: 0001711459 IRS NUMBER: 815455517 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-406179 FILM NUMBER: 211089712 BUSINESS ADDRESS: STREET 1: 953 INDIANA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: (415) 742-1283 MAIL ADDRESS: STREET 1: 953 INDIANA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 D 1 primary_doc.xml X0708 D LIVE 0001711459 Prellis Biologics, Inc 3944 Trust Way Hayward CA CALIFORNIA 94545 (415) 742-1283 DELAWARE None None Corporation true 2017 Melanie Matheu 3944 Trust Way Hayward CA CALIFORNIA 94545 Executive Officer Director Alex Morgan 3944 Trust Way Hayward CA CALIFORNIA 94545 Director Michael Marks 3944 Trust Way Hayward CA CALIFORNIA 94545 Director Shaun Holt 3944 Trust Way Hayward CA CALIFORNIA 94545 Director Arvind Gupta 3944 Trust Way Hayward CA CALIFORNIA 94545 Director Other Technology Decline to Disclose 06b false 2021-07-01 false true false 0 19252758 19252758 0 false 9 0 0 0 false Prellis Biologics, Inc /s/ Melanie Matheu Melanie Matheu Chief Executive Officer 2021-07-14