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