0001815087-21-000002.txt : 20211006 0001815087-21-000002.hdr.sgml : 20211006 20211006125208 ACCESSION NUMBER: 0001815087-21-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211006 DATE AS OF CHANGE: 20211006 EFFECTIVENESS DATE: 20211006 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: 021-410903 FILM NUMBER: 211309369 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 AVE. E. SEATTLE WA WASHINGTON 98102 206-351-2662 DELAWARE None None Corporation true 2020 Roslyn Hendriks 3716 Leeward Lane Anacortes WA WASHINGTON 98221 Executive Officer Director Kathleen Lendvay 2826 11th Ave. East Seattle WA WASHINGTON 98102 Executive Officer Thomas Lendvay 2826 11th Ave. East Seattle WA WASHINGTON 98102 Executive Officer Director Susan Preston 7985 145th Ave SE Newcastle WA WASHINGTON 98059 Director Other Technology Decline to Disclose 06b true 0001815087-21-000001 2021-08-13 false true false 0 2500000 2500000 0 false 64 0 0 0 false MicrobiomX, Inc. /s/ Roslyn Ann Hendriks Roslyn Ann Hendriks Chair & CEO 2021-10-06