0001741691-20-000004.txt : 20201228 0001741691-20-000004.hdr.sgml : 20201228 20201228124441 ACCESSION NUMBER: 0001741691-20-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201228 DATE AS OF CHANGE: 20201228 EFFECTIVENESS DATE: 20201228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Quellis Biosciences, Inc. CENTRAL INDEX KEY: 0001741691 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-384402 FILM NUMBER: 201416862 BUSINESS ADDRESS: STREET 1: 203 CRESCENT STREET STREET 2: BLDG. #17, SUITE #102B CITY: WALTHAM STATE: MA ZIP: 02453 BUSINESS PHONE: 919-949-8552 MAIL ADDRESS: STREET 1: 203 CRESCENT STREET STREET 2: BLDG. #17, SUITE #102B CITY: WALTHAM STATE: MA ZIP: 02453 D 1 primary_doc.xml X0708 D LIVE 0001741691 Quellis Biosciences, Inc. 203 CRESCENT STREET BLDG. #17, SUITE #102B WALTHAM MA MASSACHUSETTS 02453 919-949-8552 DELAWARE None None Corporation true 2017 Jonathan Violin c/o Quellis Biosciences, Inc. 203 Crescent Street, Bldg #17, St. 102B Waltham MA MASSACHUSETTS 02453 Executive Officer Director Jonathan Violin fills the role of executive officer by serving as President of the Company. Christopher Garabedian c/o Quellis Biosciences, Inc. 203 Crescent Street, Bldg #17, St. 102B Waltham MA MASSACHUSETTS 02453 Director Frederick Callori c/o Quellis Biosciences, Inc. 203 Crescent Street, Bldg #17, St. 102B Waltham MA MASSACHUSETTS 02453 Director Biotechnology Decline to Disclose 06b false 2020-12-14 true true false 0 1021981 0 1021981 false 1 0 0 0 false Quellis Biosciences, Inc. /s/ Jonathan Violin Jonathan Violin President 2020-12-28