0001741875-21-000001.txt : 20211123 0001741875-21-000001.hdr.sgml : 20211123 20211123172127 ACCESSION NUMBER: 0001741875-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211123 DATE AS OF CHANGE: 20211123 EFFECTIVENESS DATE: 20211123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Trace Genomics, Inc. CENTRAL INDEX KEY: 0001741875 IRS NUMBER: 474061225 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-422321 FILM NUMBER: 211439816 BUSINESS ADDRESS: STREET 1: 849 MITTEN ROAD STREET 2: SUITE 104-106 CITY: BURLINGAME STATE: CA ZIP: 94010 BUSINESS PHONE: 8312960111 MAIL ADDRESS: STREET 1: 849 MITTEN ROAD STREET 2: SUITE 104-106 CITY: BURLINGAME STATE: CA ZIP: 94010 D 1 primary_doc.xml X0708 D LIVE 0001741875 Trace Genomics, Inc. 303 Twin Dolphin Drive FL6 #35 Redwood City CA CALIFORNIA 94065 (844) 672-5749 DELAWARE None None Corporation true Daniel Vradenburg 303 Twin Dolphin Drive FL6 #35 Redwood City CA CALIFORNIA 94065 Executive Officer Director Joe Pianelli 303 Twin Dolphin Drive FL6 #35 Redwood City CA CALIFORNIA 94065 Director Michael Toelle 303 Twin Dolphin Drive FL6 #35 Redwood City CA CALIFORNIA 94065 Director William Buckner 303 Twin Dolphin Drive FL6 #35 Redwood City CA CALIFORNIA 94065 Director Veery Maxwell 303 Twin Dolphin Drive FL6 #35 Redwood City CA CALIFORNIA 94065 Director Cristina Rohr 303 Twin Dolphin Drive FL6 #35 Redwood City CA CALIFORNIA 94065 Director Other Decline to Disclose 06b false 2021-11-09 false true true true false 0 10000000 8336517 1663483 false 8 0 0 0 false Trace Genomics, Inc. /s/ Daniel Vradenburg Daniel Vradenburg Chief Executive Officer 2021-11-23