0001683168-21-005331.txt : 20211109
0001683168-21-005331.hdr.sgml : 20211109
20211109114322
ACCESSION NUMBER: 0001683168-21-005331
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20211109
DATE AS OF CHANGE: 20211109
EFFECTIVENESS DATE: 20211109
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Model Medicines, Inc.
CENTRAL INDEX KEY: 0001892786
IRS NUMBER: 844343971
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-420411
FILM NUMBER: 211390887
BUSINESS ADDRESS:
STREET 1: 1268 PROSPECT STREET
CITY: LA JOLLA
STATE: CA
ZIP: 92037
BUSINESS PHONE: 732-423-2763
MAIL ADDRESS:
STREET 1: 1268 PROSPECT STREET
CITY: LA JOLLA
STATE: CA
ZIP: 92037
D
1
primary_doc.xml
X0708
D
LIVE
0001892786
Model Medicines, Inc.
1268 PROSPECT STREET
LA JOLLA
CA
CALIFORNIA
92037
732-423-2763
DELAWARE
Repurpose.AI, Inc.
None
Corporation
true
2019
Daniel
Haders
1268 PROSPECT STREET
LA JOLLA
CA
CALIFORNIA
92037
Executive Officer
Director
Marlon
Evans
1268 PROSPECT STREET
LA JOLLA
CA
CALIFORNIA
92037
Executive Officer
Director
Kip
Quackenbush
1268 PROSPECT STREET
LA JOLLA
CA
CALIFORNIA
92037
Executive Officer
Director
Other Technology
Decline to Disclose
- 06b
false
2020-08-12
true
true
false
0
3500000
3500000
0
false
5
0
0
0
false
Model Medicines, Inc.
/s/ Daniel Haders
Daniel Haders
Chief Executive Officer
2021-11-09