0001761323-18-000001.txt : 20181211 0001761323-18-000001.hdr.sgml : 20181211 20181211122248 ACCESSION NUMBER: 0001761323-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181211 DATE AS OF CHANGE: 20181211 EFFECTIVENESS DATE: 20181211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forte Biosciences, Inc. CENTRAL INDEX KEY: 0001761323 IRS NUMBER: 821725579 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-327581 FILM NUMBER: 181228224 BUSINESS ADDRESS: STREET 1: 14632 VALLEY VISTA CITY: SHERMAN OAKS STATE: CA ZIP: 94103 BUSINESS PHONE: 858-625-1025 MAIL ADDRESS: STREET 1: 14632 VALLEY VISTA CITY: SHERMAN OAKS STATE: CA ZIP: 94103 D 1 primary_doc.xml X0708 D LIVE 0001761323 Forte Biosciences, Inc. 14632 VALLEY VISTA SHERMAN OAKS CA CALIFORNIA 94103 858-625-1025 DELAWARE None None Corporation true 2017 Paul Wagner c/o Forte Biosciences, Inc. 14632 Valley Vista Sherman Oaks CA CALIFORNIA 94103 Executive Officer Director Lawrence Eichenfield c/o Forte Biosciences, Inc. 14632 Valley Vista Sherman Oaks CA CALIFORNIA 94103 Director Tuan Huynh c/o Forte Biosciences, Inc. 14632 Valley Vista Sherman Oaks CA CALIFORNIA 94103 Director Biotechnology Decline to Disclose 06b false 2018-11-27 false true false 0 10656622 5756621 4900001 $5,099,998.25 new money; $656,623.26 conversion of notes false 12 0 0 0 false Forte Biosciences, Inc. /s/ Paul Wagner Paul Wagner Chief Executive Officer 2018-12-11