0001493152-23-040177.txt : 20231109 0001493152-23-040177.hdr.sgml : 20231109 20231109195706 ACCESSION NUMBER: 0001493152-23-040177 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230814 FILED AS OF DATE: 20231109 DATE AS OF CHANGE: 20231109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Morris Gabriel S CENTRAL INDEX KEY: 0001889967 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-41159 FILM NUMBER: 231394284 MAIL ADDRESS: STREET 1: 11400 WEST OLYMPIC BLVD., STREET 2: SUITE 200 CITY: LOS ANGELES STATE: CA ZIP: 90064 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 4/A 1 ownership.xml X0508 4/A 2023-08-14 2023-08-14 0 0001873835 Immix Biopharma, Inc. IMMX 0001889967 Morris Gabriel S 11400 WEST OLYMPIC BLVD., SUITE 200 LOS ANGELES CA 90064 1 1 0 0 CFO 0 Stock Options 1.86 2023-08-14 4 A 0 293000 0 A 2033-08-14 Common Stock 293000 293000 D Options vest monthly over 48 months from the date of grant. /s/ Gabriel Morris 2023-11-09