0001516068-18-000001.txt : 20180104
0001516068-18-000001.hdr.sgml : 20180104
20180104171555
ACCESSION NUMBER: 0001516068-18-000001
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20180104
DATE AS OF CHANGE: 20180104
EFFECTIVENESS DATE: 20180104
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-261781
FILM NUMBER: 18511040
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/A
1
primary_doc.xml
X0708
D/A
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
1660A Old Pecos Trail
Santa Fe
NM
NEW MEXICO
87505
Director
Brian
P.
Birk
1660A Old Pecos Trail
Santa Fe
NM
NEW MEXICO
87505
Director
William
A.
Miller
1660A Old Pecos Trail
Santa Fe
NM
NEW MEXICO
87505
Director
Thomas
R.
Morse
1660A Old Pecos Trail
Santa Fe
NM
NEW MEXICO
87505
Director
Stuart
Schoenmann
10157 Master Drive
Albuquerque
NM
NEW MEXICO
87111
Director
Matt
Culler
1660A Old Pecos Trail
Santa Fe
NM
NEW MEXICO
87505
Executive Officer
Other Health Care
Decline to Disclose
- 06b
true
0001516068-16-000002
2016-04-11
true
true
true
true
false
0
5000000
3444729
1555271
false
48
0
0
300000
true
false
Avisa Pharma Inc.
David S. Joseph
David S. Joseph
CEO and President
2018-01-04