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