0001516068-16-000002.txt : 20160421 0001516068-16-000002.hdr.sgml : 20160421 20160421121310 ACCESSION NUMBER: 0001516068-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160421 DATE AS OF CHANGE: 20160421 EFFECTIVENESS DATE: 20160421 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: 021-261781 FILM NUMBER: 161583396 BUSINESS ADDRESS: STREET 1: 1660A OLD PECOS TRAIL CITY: SANTA FE STATE: NM ZIP: 87505 BUSINESS PHONE: 505-820-1400 MAIL ADDRESS: STREET 1: 1660A OLD PECOS TRAIL CITY: SANTA FE STATE: NM ZIP: 87505 D 1 primary_doc.xml X0707 D LIVE 0001516068 Avisa Pharma Inc. 1660A OLD PECOS TRAIL SANTA FE NM NEW MEXICO 87505 505-820-1400 DELAWARE None None Corporation true 2013 David S. Joseph 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Executive Officer Director Allan Bedwick House 35, Manderly Garden 48 Deep Water Bay Road Shouson Hill K3 HONG KONG 00000 Director Brian P. Birk 301 Griffin Street Santa Fe NM NEW MEXICO 87501 Director William A. Miller 40 Camino del Valle Santa Fe NM NEW MEXICO 87506 Director Thomas R. Morse 1201 Basset Lane Chester Springs PA PENNSYLVANIA 19425 Director Stuart Schoenmann 10157 Masters Drive Albuquerque NM NEW MEXICO 87111 Director Graham S. Timmins 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Executive Officer Elizabeth A. Perkett 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Executive Officer Carol C. LaRotonda 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Executive Officer David Karshmer 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Executive Officer John Maynard 1660A Old Pecos Trail Santa Fe NM NEW MEXICO 87505 Executive Officer Other Health Care Decline to Disclose 06b false 2016-04-11 false true true true false 0 2000000 914359 1085641 false 17 0 0 300000 true false Avisa Pharma Inc. David S. Joseph David S. Joseph President 2016-04-21