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