0001789428-19-000002.txt : 20190927 0001789428-19-000002.hdr.sgml : 20190927 20190927100818 ACCESSION NUMBER: 0001789428-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190927 DATE AS OF CHANGE: 20190927 EFFECTIVENESS DATE: 20190927 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Periovance, Inc. CENTRAL INDEX KEY: 0001789428 IRS NUMBER: 822707363 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-349804 FILM NUMBER: 191120002 BUSINESS ADDRESS: STREET 1: 285 KAPPA DRIVE, SUITE 100 CITY: PITTSBURGH STATE: PA ZIP: 15238 BUSINESS PHONE: 412-523-2604 MAIL ADDRESS: STREET 1: 285 KAPPA DRIVE, SUITE 100 CITY: PITTSBURGH STATE: PA ZIP: 15238 D 1 primary_doc.xml X0708 D LIVE 0001789428 Periovance, Inc. 285 KAPPA DRIVE, SUITE 100 PITTSBURGH PA PENNSYLVANIA 15238 412-523-2604 DELAWARE None None Corporation true 2017 Joseph T Donnelly 285 Kappa Drive, Suite 100 Pittsburgh PA PENNSYLVANIA 15238 Executive Officer Director James Nolan 285 Kappa Drive, Suite 100 Pittsburgh PA PENNSYLVANIA 15238 Executive Officer Director Michael Fare 285 Kappa Drive, Suite 100 Pittsburgh PA PENNSYLVANIA 15238 Executive Officer Director Kenneth Melani 285 Kappa Drive, Suite 100 Pittsburgh PA PENNSYLVANIA 15238 Director Dennis Szymaitis 285 Kappa Drive, Suite 100 Pittsburgh PA PENNSYLVANIA 15238 Director Promoter Michael Hughes 285 Kappa Drive, Suite 100 Pittsburgh PA PENNSYLVANIA 15238 Director Velocity Fund Partners LP Velocity Fund Partners, LP 285 Kappa Drive, Suite 100 Pittsburgh PA PENNSYLVANIA 15238 Promoter Other Health Care Decline to Disclose 06b false 2019-08-31 false true false 0 1250000 500000 750000 false 6 0 0 0 false Periovance, Inc. /s/ Joseph T. Donnelly Joseph T. Donnelly Chief Financial Officer 2019-09-16