0001516068-20-000005.txt : 20201221
0001516068-20-000005.hdr.sgml : 20201221
20201221094534
ACCESSION NUMBER: 0001516068-20-000005
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20201221
DATE AS OF CHANGE: 20201221
EFFECTIVENESS DATE: 20201221
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: 021-383800
FILM NUMBER: 201402727
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
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0001516068
Avisa Pharma Inc.
1660A OLD PECOS TRAIL
SANTA FE
NM
NEW MEXICO
87505
505-820-1400
DELAWARE
None
None
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true
David
S.
Joseph
1660A Old Pecos Trail
Santa Fe
NM
NEW MEXICO
87505
Executive Officer
Director
J.
Chuck
Morrison
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
Matt
Culler
1660 Old Pecos Trail
Santa Fe
NM
NEW MEXICO
87505
Director
Other Health Care
Decline to Disclose
- 06b
false
2020-12-04
false
true
false
0
495000
495000
0
false
30
0
0
0
false
Avisa Pharma Inc.
David S. Joseph
David S. Joseph
CEO and President
2020-12-21