0001950066-22-000002.txt : 20221110 0001950066-22-000002.hdr.sgml : 20221110 20221110104855 ACCESSION NUMBER: 0001950066-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221110 DATE AS OF CHANGE: 20221110 EFFECTIVENESS DATE: 20221110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PhenoBiome, Inc. CENTRAL INDEX KEY: 0001950066 IRS NUMBER: 812753637 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-464446 FILM NUMBER: 221375597 BUSINESS ADDRESS: STREET 1: 1111 NORTH PALM CANYON DRIVE STREET 2: SUITE E CITY: PALM SPRINGS STATE: CA ZIP: 92262 BUSINESS PHONE: (415) 269-0666 MAIL ADDRESS: STREET 1: 1111 NORTH PALM CANYON DRIVE STREET 2: SUITE E CITY: PALM SPRINGS STATE: CA ZIP: 92262 D 1 primary_doc.xml X0708 D LIVE 0001950066 PhenoBiome, Inc. 1111 NORTH PALM CANYON DRIVE SUITE E PALM SPRINGS CA CALIFORNIA 92262 (415) 269-0666 DELAWARE None None Corporation true Didier Perez 1111 North Palm Canyon Drive Suite E Palm Springs CA CALIFORNIA 92262 Executive Officer Director William Rutter 1111 North Palm Canyon Drive Suite E Palm Springs CA CALIFORNIA 92262 Director Andrei Osterman 1111 North Palm Canyon Drive Suite E Palm Springs CA CALIFORNIA 92262 Director Biotechnology Decline to Disclose 06b false 2022-11-01 false true true true false 0 1500000 1500000 0 false 4 0 0 0 false PhenoBiome, Inc. Didier Perez Didier Perez Chief Executive Officer 2022-11-09