0001209191-23-047060.txt : 20230823 0001209191-23-047060.hdr.sgml : 20230823 20230823162649 ACCESSION NUMBER: 0001209191-23-047060 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230822 FILED AS OF DATE: 20230823 DATE AS OF CHANGE: 20230823 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chudnovsky Yekaterina CENTRAL INDEX KEY: 0001979324 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41159 FILM NUMBER: 231197916 MAIL ADDRESS: STREET 1: C/O ELICIO THERAPEUTICS, INC. STREET 2: 451 D STREET, 5TH FLOOR, SUITE 501 CITY: BOSTON STATE: MA ZIP: 02210 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Immix Biopharma, Inc. CENTRAL INDEX KEY: 0001873835 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 454869378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11400 WEST OLYMPIC BLVD. STREET 2: SUITE 200 CITY: LOS ANGELES STATE: CA ZIP: 90064 BUSINESS PHONE: (888) 958-1084 MAIL ADDRESS: STREET 1: 10573 W. PICO BLVD. STREET 2: #58 CITY: LOS ANGELES STATE: CA ZIP: 90064 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2023-08-22 0 0001873835 Immix Biopharma, Inc. IMMX 0001979324 Chudnovsky Yekaterina C/O IMMIX BIOPHARMA, INC. 11400 WEST OLYMPIC BLVD., SUITE 200 LOS ANGELES CA 90064 1 0 1 0 Common Stock 3241076 I Held by GKCC, LLC Pre-Funded Common Stock Purchase Warrant 0.0001 Common Stock 1913661 I Held by GKCC, LLC Yekaterina (Katie) Chudnovsky is the sole member and manager of GKCC, LLC and may be deemed to beneficially own the shares held by GKCC, LLC. The Pre-Funded Warrants are immediately exercisable by GKCC, LLC at an exercise price of $0.0001 per Pre-Funded Warrant share, subject to the terms and provisions set forth in that certain Pre-Funded Warrant to Purchase Common Stock, dated August 22, 2023. The Pre-Funded Warrants have no expiration date. /s/ Yekaterina Chudnovsky 2023-08-23