0001740380-18-000001.txt : 20180522 0001740380-18-000001.hdr.sgml : 20180522 20180522141959 ACCESSION NUMBER: 0001740380-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180522 DATE AS OF CHANGE: 20180522 EFFECTIVENESS DATE: 20180522 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CiVi Biopharma Holdings, Inc. CENTRAL INDEX KEY: 0001740380 IRS NUMBER: 824833651 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-312966 FILM NUMBER: 18852077 BUSINESS ADDRESS: STREET 1: ONE TOWN PLACE, SUITE 200 CITY: BRYN MAWR STATE: PA ZIP: 19010 BUSINESS PHONE: 484-222-6251 MAIL ADDRESS: STREET 1: ONE TOWN PLACE, SUITE 200 CITY: BRYN MAWR STATE: PA ZIP: 19010 D 1 primary_doc.xml X0708 D LIVE 0001740380 CiVi Biopharma Holdings, Inc. ONE TOWN PLACE, SUITE 200 BRYN MAWR PA PENNSYLVANIA 19010 484-222-6251 DELAWARE None None Corporation true 2017 Henrik Oerum One Town Place, Suite 200 Bryn Mawr PA PENNSYLVANIA 19010 Executive Officer Director Shalom Jacobovitz One Town Place, Suite 200 Bryn Mawr PA PENNSYLVANIA 19010 Executive Officer Director Aaron Davis One Town Place, Suite 200 Bryn Mawr PA PENNSYLVANIA 19010 Director Christopher Fuglesang One Town Place, Suite 200 Bryn Mawr PA PENNSYLVANIA 19010 Director Carole Nuechterlein One Town Place, Suite 200 Bryn Mawr PA PENNSYLVANIA 19010 Director Pharmaceuticals Decline to Disclose 06b false 2018-05-07 false true false 0 49000000 49000000 0 false 6 0 0 0 false CiVi Biopharma Holdings, Inc. Shalom Jacobovitz Shalom Jacobovitz Chief Executive Officer 2018-05-22