0001816722-22-000001.txt : 20220414 0001816722-22-000001.hdr.sgml : 20220414 20220413192003 ACCESSION NUMBER: 0001816722-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220414 DATE AS OF CHANGE: 20220413 EFFECTIVENESS DATE: 20220414 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ansa Biotechnologies, Inc. CENTRAL INDEX KEY: 0001816722 IRS NUMBER: 830744780 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-441763 FILM NUMBER: 22825692 BUSINESS ADDRESS: STREET 1: 626 BANCROFT WAY STREET 2: SUITE A CITY: BERKELEY STATE: CA ZIP: 94710 BUSINESS PHONE: (248) 227-5556 MAIL ADDRESS: STREET 1: 626 BANCROFT WAY STREET 2: SUITE A CITY: BERKELEY STATE: CA ZIP: 94710 D 1 primary_doc.xml X0708 D LIVE 0001816722 Ansa Biotechnologies, Inc. 1198 65th Street #250 Emeryville CA CALIFORNIA 94608 (248) 227-5556 DELAWARE None None Corporation true 2018 Daniel Lin-Arlow 1198 65th Street #250 Emeryville CA CALIFORNIA 94608 Executive Officer Director Sebastian Palluk 1198 65th Street #250 Emeryville CA CALIFORNIA 94608 Executive Officer Director Lily Li 1198 65th Street #250 Emeryville CA CALIFORNIA 94608 Director Biotechnology Decline to Disclose 06b false 2022-03-18 false true true false 0 76671201 67724967 8946234 false 23 0 0 0 false Ansa Biotechnologies, Inc. /s/ Daniel Lin-Arlow Daniel Lin-Arlow Chief Executive Officer 2022-04-13