0001209191-14-072509.txt : 20141202 0001209191-14-072509.hdr.sgml : 20141202 20141202195356 ACCESSION NUMBER: 0001209191-14-072509 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141202 FILED AS OF DATE: 20141202 DATE AS OF CHANGE: 20141202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HISTOGENICS CORP CENTRAL INDEX KEY: 0001372299 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 830 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-457-7900 MAIL ADDRESS: STREET 1: 830 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baltzell Joshua J CENTRAL INDEX KEY: 0001418439 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36751 FILM NUMBER: 141261920 MAIL ADDRESS: STREET 1: C/O SPLIT ROCK PARTNERS STREET 2: 10400 VIKING DRIVE, SUITE 250 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2014-12-02 1 0001372299 HISTOGENICS CORP HSGX 0001418439 Baltzell Joshua J C/O HISTOGENICS CORPORATION 830 WINTER STREET, 3RD FLOOR WALTHAM MA 02451 1 0 0 0 /s/ Joshua Baltzell 2014-12-02