0001711837-22-000001.txt : 20221011
0001711837-22-000001.hdr.sgml : 20221011
20221011145717
ACCESSION NUMBER: 0001711837-22-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20221011
DATE AS OF CHANGE: 20221011
EFFECTIVENESS DATE: 20221011
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: VIOME LIFE SCIENCES, INC.
CENTRAL INDEX KEY: 0001711837
IRS NUMBER: 813161987
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-461375
FILM NUMBER: 221303787
BUSINESS ADDRESS:
STREET 1: 205 108TH AVE NE, SUITE 150
CITY: BELLEVUE
STATE: WA
ZIP: 98004
BUSINESS PHONE: 425 830 6556
MAIL ADDRESS:
STREET 1: 205 108TH AVE NE, SUITE 150
CITY: BELLEVUE
STATE: WA
ZIP: 98004
FORMER COMPANY:
FORMER CONFORMED NAME: VIOME, INC.
DATE OF NAME CHANGE: 20170713
D
1
primary_doc.xml
X0708
D
LIVE
0001711837
VIOME LIFE SCIENCES, INC.
205 108TH AVE NE, SUITE 150
BELLEVUE
WA
WASHINGTON
98004
425 830 6556
DELAWARE
Bluespin, Inc.
VIOME, INC.
Corporation
true
Naveen
Jain
205 108th Avenue NE, Suite 150
Bellevue
WA
WASHINGTON
98004
Executive Officer
Director
William
A.
Owens
205 108th Avenue NE, Suite 150
Bellevue
WA
WASHINGTON
98004
Director
Erik
Anderson
205 108th Avenue NE, Suite 150
Bellevue
WA
WASHINGTON
98004
Director
Christopher
Kitze
205 108th Avenue NE, Suite 150
Bellevue
WA
WASHINGTON
98004
Director
EIICHIRO
KIMURA
205 108th Avenue NE, Suite 150
Bellevue
WA
WASHINGTON
98004
Director
GREGORY
J.
MOORE
205 108th Avenue NE, Suite 150
Bellevue
WA
WASHINGTON
98004
Director
Steven
W.
Sansom
205 108th Avenue NE, Suite 150
Bellevue
WA
WASHINGTON
98004
Director
Other
Decline to Disclose
- 06b
false
2022-09-27
false
true
false
0
96897493
67004494
29892999
false
34
0
0
0
false
VIOME LIFE SCIENCES, INC.
\s\ Naveen Jain
Naveen Jain
CEO
2022-10-11