0001722397-24-000001.txt : 20240916 0001722397-24-000001.hdr.sgml : 20240916 20240916160753 ACCESSION NUMBER: 0001722397-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240916 DATE AS OF CHANGE: 20240916 EFFECTIVENESS DATE: 20240916 FILER: COMPANY DATA: COMPANY CONFORMED NAME: STAQ Pharma, Inc. CENTRAL INDEX KEY: 0001722397 ORGANIZATION NAME: IRS NUMBER: 364670631 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-524144 FILM NUMBER: 241301106 BUSINESS ADDRESS: STREET 1: 14135 E. 42ND AVE. STREET 2: UNIT 50 CITY: DENVER STATE: CO ZIP: 80239 BUSINESS PHONE: 720-961-2720 MAIL ADDRESS: STREET 1: 14135 E. 42ND AVE. STREET 2: UNIT 50 CITY: DENVER STATE: CO ZIP: 80239 FORMER COMPANY: FORMER CONFORMED NAME: QualMed Pharmacy, Inc. DATE OF NAME CHANGE: 20171113 D 1 primary_doc.xml X0708 D LIVE 0001722397 STAQ Pharma, Inc. 14135 E. 42ND AVE. UNIT 50 DENVER CO COLORADO 80239 720-961-2720 COLORADO QualMed Pharmacy, Inc. Corporation true Joseph W Bagan 14135 E. 42nd Avenue Unit 50 Denver CO COLORADO 80239 Executive Officer Director Jeffrey L Hval 14135 E. 42nd Avenue Unit 50 Denver CO COLORADO 80239 Executive Officer Director Mark M Spiecker 14135 E. 42nd Avenue Unit 50 Denver CO COLORADO 80239 Executive Officer Director Dan Seff 14135 E. 42nd Avenue Unit 50 Denver CO COLORADO 80239 Director Brad Hauert 14135 E. 42nd Avenue Unit 50 Denver CO COLORADO 80239 Director Paul Jenny 14135 E. 42nd Avenue Unit 50 Denver CO COLORADO 80239 Director Scott Hawig 14135 E. 42nd Avenue Unit 50 Denver CO COLORADO 80239 Director Chet Kaczor 14135 E. 42nd Avenue Denver CO COLORADO 80239 Director Carol Lewis 14135 E. 42nd Avenue Denver CO COLORADO 80239 Director Pharmaceuticals Decline to Disclose 06b false 2024-09-04 false true false 10000 30000000 11400001 18599999 false 8 0 0 0 false STAQ Pharma, Inc. /s/ Joseph W. Bagan Joseph W. Bagan Chief Executive Officer 2024-09-12