0000898432-21-000397.txt : 20210525 0000898432-21-000397.hdr.sgml : 20210525 20210525163447 ACCESSION NUMBER: 0000898432-21-000397 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210525 DATE AS OF CHANGE: 20210525 EFFECTIVENESS DATE: 20210525 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MicrobiomX, Inc. CENTRAL INDEX KEY: 0001815087 IRS NUMBER: 845037626 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-368963 FILM NUMBER: 21961099 BUSINESS ADDRESS: STREET 1: 2826 11TH AVE. E. CITY: SEATTLE STATE: WA ZIP: 98102 BUSINESS PHONE: 206-351-2662 MAIL ADDRESS: STREET 1: 2826 11TH AVE. E. CITY: SEATTLE STATE: WA ZIP: 98102 D/A 1 primary_doc.xml X0708 D/A LIVE 0001815087 MicrobiomX, Inc. 2826 11TH AVENUE EAST SEATTLE WA WASHINGTON 98102 206-351-2662 DELAWARE None None Corporation true 2020 Roslyn Hendriks 2826 11th Avenue East Seattle WA WASHINGTON 98102 Executive Officer Director Kathleen Lendvay 2826 11th Avenue East Seattle WA WASHINGTON 98102 Executive Officer Director Thomas Lendvay 2826 11th Avenue East Seattle WA WASHINGTON 98102 Executive Officer Director Other Technology Decline to Disclose 06b true 0000898432-20-000595 2020-06-01 false true true Convertible Promissory Notes false 0 1000000 1000000 0 false 19 0 0 0 false MicrobiomX, Inc. /s/ Roslyn Ann Hendriks Roslyn Ann Hendriks Chair & CEO 2021-05-25