0001721364-17-000001.txt : 20171115 0001721364-17-000001.hdr.sgml : 20171115 20171115120213 ACCESSION NUMBER: 0001721364-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171115 DATE AS OF CHANGE: 20171115 EFFECTIVENESS DATE: 20171115 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Triad Life Sciences Inc. CENTRAL INDEX KEY: 0001721364 IRS NUMBER: 822484047 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-298801 FILM NUMBER: 171204445 BUSINESS ADDRESS: STREET 1: 875 WEST POPLAR AVENUE, STE. 23-138 CITY: COLLIERVILLE STATE: TN ZIP: 38017 BUSINESS PHONE: 9013103747 MAIL ADDRESS: STREET 1: 875 WEST POPLAR AVENUE, STE. 23-138 CITY: COLLIERVILLE STATE: TN ZIP: 38017 D 1 primary_doc.xml X0708 D LIVE 0001721364 Triad Life Sciences Inc. 875 WEST POPLAR AVENUE, STE. 23-138 COLLIERVILLE TN TENNESSEE 38017 9013103747 DELAWARE None None Corporation true 2017 Russell I Olsen 875 West Poplar Avenue Suite 23-138 Collierville TN TENNESSEE 38017 Executive Officer Director Donna M Best 875 West Poplar Avenue Suite 23-138 Collierville TN TENNESSEE 38017 Executive Officer Other Decline to Disclose 06b false 2017-10-30 false true false 0 1000000 1000000 0 false 4 0 0 0 false Triad Life Sciences Inc. Elizabeth Clippard Elizabeth Clippard Attorney-in-fact 2017-11-15