0001935963-24-000002.txt : 20240116 0001935963-24-000002.hdr.sgml : 20240116 20240116145822 ACCESSION NUMBER: 0001935963-24-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240116 DATE AS OF CHANGE: 20240116 EFFECTIVENESS DATE: 20240116 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RevivBio Inc. CENTRAL INDEX KEY: 0001935963 ORGANIZATION NAME: IRS NUMBER: 881541466 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-502521 FILM NUMBER: 24534861 BUSINESS ADDRESS: STREET 1: 750 MAIN STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 BUSINESS PHONE: 607-227-2947 MAIL ADDRESS: STREET 1: 750 MAIN STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 D 1 primary_doc.xml X0708 D LIVE 0001935963 RevivBio Inc. 750 MAIN STREET CAMBRIDGE MA MASSACHUSETTS 02139 607-227-2947 DELAWARE None None Corporation true 2021 FATEMEH AILEEN MASTOURI 750 MAIN STREET CAMBRIDGE MA MASSACHUSETTS 02139 Executive Officer Director OXANA KUKHANEVA 7 RUE DE MONTTESSUY PARIS I0 FRANCE 5007 Director KARLA MILCIC 750 MAIN STREET CAMBRIDGE MA MASSACHUSETTS 02139 Director Biotechnology Decline to Disclose 06b false 2023-12-29 false true false 0 3153975 2954976 198999 Amount Offered and Sold include the conversion of SAFE's. false 11 0 0 0 false RevivBio Inc. /s/ Fatemeh Aileen Mastouri Fatemeh Aileen Mastouri Chief Executive Officer of the Issuer 2024-01-16