0001878646-22-000025.txt : 20220705 0001878646-22-000025.hdr.sgml : 20220705 20220705160049 ACCESSION NUMBER: 0001878646-22-000025 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220705 DATE AS OF CHANGE: 20220705 EFFECTIVENESS DATE: 20220705 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RevivBio Inc. CENTRAL INDEX KEY: 0001935963 IRS NUMBER: 881541466 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-451168 FILM NUMBER: 221064709 BUSINESS ADDRESS: STREET 1: 4539 METROPOLITAN COURT CITY: FREDERICK STATE: MD ZIP: 21704 BUSINESS PHONE: 607-227-2947 MAIL ADDRESS: STREET 1: 4539 METROPOLITAN COURT CITY: FREDERICK STATE: MD ZIP: 21704 D 1 primary_doc.xml X0708 D LIVE 0001935963 RevivBio Inc. 4539 METROPOLITAN COURT FREDERICK MD MARYLAND 21704 607-227-2947 DELAWARE None None Corporation true 2021 Fatemeh Aileen Mastouri c/o Issuer, 4539 Metropolitan Court Frederick MD MARYLAND 21704 Executive Officer Director Biotechnology Decline to Disclose 06b false 2022-06-10 false true false 0 250000 137000 113000 false 4 0 0 0 false RevivBio Inc. /s/Fatemeh Aileen Mastouri Fatemeh Aileen Mastouri Chief Executive Officer of the Issuer 2022-07-05