0001778959-21-000002.txt : 20210901 0001778959-21-000002.hdr.sgml : 20210901 20210901134224 ACCESSION NUMBER: 0001778959-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210901 DATE AS OF CHANGE: 20210901 EFFECTIVENESS DATE: 20210901 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Revere Pharmaceuticals Inc. CENTRAL INDEX KEY: 0001778959 IRS NUMBER: 814687513 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-412020 FILM NUMBER: 211229583 BUSINESS ADDRESS: STREET 1: 36 ORVIS ROAD CITY: ARLINGTON STATE: MA ZIP: 02474 BUSINESS PHONE: 781-718-9033 MAIL ADDRESS: STREET 1: 36 ORVIS ROAD CITY: ARLINGTON STATE: MA ZIP: 02474 D 1 primary_doc.xml X0708 D LIVE 0001778959 Revere Pharmaceuticals Inc. 36 ORVIS ROAD ARLINGTON MA MASSACHUSETTS 02474 781-718-9033 DELAWARE None None Corporation true 2016 Ian Robert Silverman 36 Orvis Road Arlington MA MASSACHUSETTS 02474 Executive Officer Director Jedd Levine 36 Orvis Road Arlington MA MASSACHUSETTS 02474 Executive Officer Director Kollol Pal 36 Orvis Road Arlington MA MASSACHUSETTS 02474 Director Marc Lippman 36 Orvis Road Arlington MA MASSACHUSETTS 02474 Director Pharmaceuticals Decline to Disclose 06b false 2021-08-27 false true false 0 1999999 1056199 943800 false 30 0 0 0 false Revere Pharmaceuticals Inc. /s/ Ian Robert Silverman Ian Robert Silverman President and Chief Executive Officer 2021-09-01