0001790072-19-000001.txt : 20191007 0001790072-19-000001.hdr.sgml : 20191007 20191007162007 ACCESSION NUMBER: 0001790072-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191007 DATE AS OF CHANGE: 20191007 EFFECTIVENESS DATE: 20191007 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SURMOUNT BIO, INC. CENTRAL INDEX KEY: 0001790072 IRS NUMBER: 301205175 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-350518 FILM NUMBER: 191141092 BUSINESS ADDRESS: STREET 1: 711 DIMMEYDALE DRIVE CITY: DEERFIELD STATE: IL ZIP: 60015 BUSINESS PHONE: 630-336-3511 MAIL ADDRESS: STREET 1: 711 DIMMEYDALE DRIVE CITY: DEERFIELD STATE: IL ZIP: 60015 D 1 primary_doc.xml X0708 D LIVE 0001790072 SURMOUNT BIO, INC. MORTON MEDICAL RESEARCH BUILDING 310 EAST SUPERIOR AVENUE, FLOOR 7 CHICAGO IL ILLINOIS 60611 630-336-3541 DELAWARE None None Corporation true 2019 JAMES SULLIVAN C/O SURMOUNT BIO, INC., MORTON MEDICAL RESEARCH BLDG, 310 E SUPERIOR AVE., FL 7 CHICAGO IL ILLINOIS 60611 Executive Officer Director Chief Executive Officer and Director JONATHAN SILVERSTEIN 11 RIVERSIDE DRIVE APT. PHW2 NEW YORK NY NEW YORK 10023 Executive Officer Director President & Director MONA ASHIYA C/O SURMOUNT BIO, INC., MORTON MEDICAL RESEARCH BLDG, 310 E SUPERIOR AVE., FL 7 CHICAGO IL ILLINOIS 60611 Director Other Technology Decline to Disclose 06b false 2019-09-20 false true true Series A Preferred Stock false 0 18000000 6000000 12000000 false 1 0 0 0 false SURMOUNT BIO, INC. /s/ James Sullivan James Sullivan Chief Executive Officer 2019-10-07