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