0001567619-21-006737.txt : 20210322 0001567619-21-006737.hdr.sgml : 20210322 20210322142351 ACCESSION NUMBER: 0001567619-21-006737 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210322 DATE AS OF CHANGE: 20210322 EFFECTIVENESS DATE: 20210322 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aervivo, Inc. CENTRAL INDEX KEY: 0001852212 IRS NUMBER: 850883301 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-393022 FILM NUMBER: 21760965 BUSINESS ADDRESS: STREET 1: 1144 ARDSLEY CT. CITY: SAN JOSE STATE: CA ZIP: 95120 BUSINESS PHONE: (425) 442-8543 MAIL ADDRESS: STREET 1: 1144 ARDSLEY CT. CITY: SAN JOSE STATE: CA ZIP: 95120 D 1 primary_doc.xml X0708 D LIVE 0001852212 Aervivo, Inc. 1144 ARDSLEY CT. SAN JOSE CA CALIFORNIA 95120 (425) 442-8543 DELAWARE None None Corporation true 2020 Michael Hart 1144 Ardsley Ct. San Jose CA CALIFORNIA 95120 Executive Officer Director Nicholas Alexander 1144 Ardsley Ct. San Jose CA CALIFORNIA 95120 Executive Officer Director Dalton Wright 1144 Ardsley Ct. San Jose CA CALIFORNIA 95120 Director Telecommunications Decline to Disclose 06b false 2021-03-08 false true false 0 5027134 4424066 603068 false 10 0 0 0 false Aervivo, Inc. /s/ Michael Hart Michael Hart Chief Executive Officer 2021-03-22