0001812623-21-000001.txt : 20210303 0001812623-21-000001.hdr.sgml : 20210303 20210302214117 ACCESSION NUMBER: 0001812623-21-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210302 EFFECTIVENESS DATE: 20210303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IDBiologics, Inc. CENTRAL INDEX KEY: 0001812623 IRS NUMBER: 822677582 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-367393 FILM NUMBER: 21706992 BUSINESS ADDRESS: STREET 1: 2101 20TH AVE SOUTH CITY: NASHVILLE STATE: TN ZIP: 37212 BUSINESS PHONE: (408) 899-9356 MAIL ADDRESS: STREET 1: 2101 20TH AVE SOUTH CITY: NASHVILLE STATE: TN ZIP: 37212 D/A 1 primary_doc.xml X0708 D/A LIVE 0001812623 IDBiologics, Inc. 2101 20TH AVE SOUTH NASHVILLE TN TENNESSEE 37212 (408) 899-9356 DELAWARE None None Corporation true 2017 Charles F. Haines c/o IDBiologics, Inc. 2101 20th Ave South Nashville TN TENNESSEE 37212 Executive Officer Director Kenneth J. Kelley c/o IDBiologics, Inc. 2101 20th Ave South Nashville TN TENNESSEE 37212 Director James E. Crowe, Jr. c/o IDBiologics, Inc. 2101 20th Ave South Nashville TN TENNESSEE 37212 Director Mike LaBarre c/o IDBiologics, Inc. 2101 20th Ave South Nashville TN TENNESSEE 37212 Director Biotechnology Decline to Disclose 06b true 0001812623-20-000001 2020-05-05 false true false 1 4300000 4300000 0 false 14 0 0 0 false IDBiologics, Inc. /s/ Charles F. Haines Charles F. Haines Chief Executive Officer 2021-03-02