0001804907-21-000001.txt : 20210812 0001804907-21-000001.hdr.sgml : 20210812 20210812105229 ACCESSION NUMBER: 0001804907-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210812 DATE AS OF CHANGE: 20210812 EFFECTIVENESS DATE: 20210812 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Polaris Quantum Biotech, Inc. CENTRAL INDEX KEY: 0001804907 IRS NUMBER: 844648541 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-409722 FILM NUMBER: 211166050 BUSINESS ADDRESS: STREET 1: 217 PLYERSMILL RD. CITY: CARY STATE: NC ZIP: 27519 BUSINESS PHONE: 919-414-9875 MAIL ADDRESS: STREET 1: 217 PLYERSMILL RD. CITY: CARY STATE: NC ZIP: 27519 D 1 primary_doc.xml X0708 D LIVE 0001804907 Polaris Quantum Biotech, Inc. 201 W Main Street Suite 205 Durham NC NORTH CAROLINA 27701 919-200-0592 DELAWARE None None Corporation true 2020 Shahar Keinan c/o Polaris Quantum Biotech, Inc. 201 W Main Street, Suite 205 Durham NC NORTH CAROLINA 27701 Executive Officer Director William J Shipman c/o Polaris Quantum Biotech, Inc. 201 W Main Street, Suite 205 Durham NC NORTH CAROLINA 27701 Executive Officer Director Doron Gordon c/o Polaris Quantum Biotech, Inc. 201 W Main Street, Suite 205 Durham NC NORTH CAROLINA 27701 Director Biotechnology Decline to Disclose 06b false 2021-07-29 false true false 0 3809985 2929921 880064 true 1 16 0 0 0 Other than the payment of salaries and other compensation and benefits, no officer, director or promoter will receive any payments from the proceeds of this offering. false Polaris Quantum Biotech, Inc. /s/ Shahar Keinan Shahar Keinan President and Chief Executive Officer 2021-08-06