0001732588-22-000001.txt : 20220211 0001732588-22-000001.hdr.sgml : 20220211 20220211141910 ACCESSION NUMBER: 0001732588-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220211 DATE AS OF CHANGE: 20220211 EFFECTIVENESS DATE: 20220211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Wild Type, Inc. CENTRAL INDEX KEY: 0001732588 IRS NUMBER: 814860095 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-433361 FILM NUMBER: 22619366 BUSINESS ADDRESS: STREET 1: 953 INDIANA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 202-400-0574 MAIL ADDRESS: STREET 1: 953 INDIANA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 D 1 primary_doc.xml X0708 D LIVE 0001732588 Wild Type, Inc. 2325 3rd Street Suite 209 SAN FRANCISCO CA CALIFORNIA 94107 408-669-5207 DELAWARE None None Corporation true 2017 Justin Kolbeck 2325 3rd Street Suite 209 San Francisco CA CALIFORNIA 94107 Executive Officer Director Arye Elfenbein 2325 3rd Street Suite 209 San Francisco CA CALIFORNIA 94107 Executive Officer Director Nabeel Hyatt 2325 3rd Street Suite 209 San Francisco CA CALIFORNIA 94107 Director George Zachary 2325 3rd Street Suite 209 San Francisco CA CALIFORNIA 94107 Director Alice Raksin 2325 3rd Street Suite 209 San Francisco CA CALIFORNIA 94107 Director Berta Strulovici 2325 3rd Street Suite 209 San Francisco CA CALIFORNIA 94107 Executive Officer Director Other Decline to Disclose 06b false 2022-01-28 false true false 1 100599970 99689196 910774 false 52 0 0 0 false Wild Type, Inc. /s/ Justin Kolbeck Justin Kolbeck Chief Executive Officer 2022-02-11