0001739815-21-000001.txt : 20211201 0001739815-21-000001.hdr.sgml : 20211201 20211201152659 ACCESSION NUMBER: 0001739815-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211201 DATE AS OF CHANGE: 20211201 EFFECTIVENESS DATE: 20211201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fountain Therapeutics, Inc. CENTRAL INDEX KEY: 0001739815 IRS NUMBER: 824181770 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-423146 FILM NUMBER: 211462728 BUSINESS ADDRESS: STREET 1: 1029 CATHCART WAY CITY: STANFORD STATE: CA ZIP: 94305 BUSINESS PHONE: 650-856-1971 MAIL ADDRESS: STREET 1: 1029 CATHCART WAY CITY: STANFORD STATE: CA ZIP: 94305 D 1 primary_doc.xml X0708 D LIVE 0001739815 Fountain Therapeutics, Inc. 681 Gateway Blvd. South San Francisco CA CALIFORNIA 94080 650-856-1971 DELAWARE None None Corporation true 2018 William Greene 681 Gateway Blvd. South San Francisco CA CALIFORNIA 94080 Executive Officer Director Thomas Rando 681 Gateway Blvd. South San Francisco CA CALIFORNIA 94080 Executive Officer Director Ashish Khanna 681 Gateway Blvd. South San Francisco CA CALIFORNIA 94080 Director Alex Morgan 681 Gateway Blvd. South San Francisco CA CALIFORNIA 94080 Director Biotechnology Decline to Disclose 06b false 2021-11-16 false true false 0 15864168 15864168 0 false 8 0 0 0 false Fountain Therapeutics, Inc. William Greene William Greene Chief Executive Officer 2021-12-01