0001516068-14-000001.txt : 20141028
0001516068-14-000001.hdr.sgml : 20141028
20141028171648
ACCESSION NUMBER: 0001516068-14-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20141028
DATE AS OF CHANGE: 20141028
EFFECTIVENESS DATE: 20141028
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Avisa Pharma Inc.
CENTRAL INDEX KEY: 0001516068
IRS NUMBER: 273584660
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-227252
FILM NUMBER: 141177955
BUSINESS ADDRESS:
STREET 1: 5901 INDIAN SCHOOL ROAD
CITY: ALBUQUERQUE
STATE: NM
ZIP: 87111
BUSINESS PHONE: 484-459-5076
MAIL ADDRESS:
STREET 1: 5901 INDIAN SCHOOL ROAD
CITY: ALBUQUERQUE
STATE: NM
ZIP: 87111
D
1
primary_doc.xml
X0707
D
LIVE
0001516068
Avisa Pharma Inc.
5901 INDIAN SCHOOL ROAD
ALBUQUERQUE
NM
NEW MEXICO
87110
505-820-1400
DELAWARE
None
None
Corporation
true
2010
David
S.
Joseph
c/o Avisa Pharma Inc.
5901 Indian School Rd.
Albuquerque
NM
NEW MEXICO
87110
Executive Officer
Director
Allan
Bedwick
c/o Avisa Pharma Inc.
5901 Indian School Rd.
Albuquerque
NM
NEW MEXICO
87110
Director
William
A.
Miller
c/o Avisa Pharma Inc.
5901 Indian School Rd.
Albuquerque
NM
NEW MEXICO
87110
Director
Tom
Morse
c/o Avisa Pharma Inc.
5901 Indian School Rd.
Albuquerque
NM
NEW MEXICO
87110
Director
Stuart
Schoenman
c/o Avisa Pharma Inc.
5901 Indian School Rd.
Albuquerque
NM
NEW MEXICO
87110
Director
Other Health Care
Decline to Disclose
- 06b
false
2014-10-17
false
true
false
0
4000000
3670716
329284
false
23
0
0
0
false
Avisa Pharma Inc.
/s/ David S. Joseph
David S. Joseph
President
2014-10-28