0001820064-20-000001.txt : 20200805 0001820064-20-000001.hdr.sgml : 20200805 20200805152255 ACCESSION NUMBER: 0001820064-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200805 DATE AS OF CHANGE: 20200805 EFFECTIVENESS DATE: 20200805 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ImmPACT Bio USA Inc. CENTRAL INDEX KEY: 0001820064 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-372570 FILM NUMBER: 201076932 BUSINESS ADDRESS: STREET 1: 4010 ADOLFO ROAD, SUITE A CITY: CAMARILLO STATE: CA ZIP: 93012 BUSINESS PHONE: 011 972 2 623 9200 MAIL ADDRESS: STREET 1: 1007 NORTH ORANGE STREET, 4TH FLOOR CITY: WILMINGTON STATE: DE ZIP: 19801 D 1 primary_doc.xml X0708 D LIVE 0001820064 ImmPACT Bio USA Inc. 4010 ADOLFO ROAD, SUITE A CAMARILLO CA CALIFORNIA 93012 805-437-9706 DELAWARE None None Corporation true 2019 Richard Kendall 4010 ADOLFO ROAD, SUITE A CAMARILLO CA CALIFORNIA 93012 Executive Officer Director President and Chief Executive Officer Asish Xavier 410 George Street New Brunswick NJ NEW JERSEY 08901 Director Erez Chimovits 89 Medinat Hayehudim St Herzeliya L3 ISRAEL 4676672 Director Robbie Woodman 435 Tasso Street, Suite 300 Palo Alto CA CALIFORNIA 94301 Director David Zigdon POB 831 Kiryat Shmona L3 ISRAEL 11016 Director Assaf Keret 11 Hamanofim Street, Ackerstein Towers (Building B, 10th Floor) Herzliya L3 ISRAEL 4676672 Director Michal Silverberg Lichtstrasse 35, Novartis Campus Forum 1-1.32 Basel V8 SWITZERLAND CH-4056 Director Biotechnology Decline to Disclose 06b false 2020-07-16 false true true 0 5500000 3750000 1750000 false 17 0 0 0 false ImmPACT Bio USA Inc. /s/ Richard Kendall Richard Kendall President and CEO 2020-08-05