0001144204-17-052848.txt : 20171017 0001144204-17-052848.hdr.sgml : 20171017 20171017164548 ACCESSION NUMBER: 0001144204-17-052848 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171017 FILED AS OF DATE: 20171017 DATE AS OF CHANGE: 20171017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Children's Hospital of Philadelphia Foundation CENTRAL INDEX KEY: 0001632060 STATE OF INCORPORATION: PA FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35112 FILM NUMBER: 171141053 BUSINESS ADDRESS: STREET 1: 34TH STREET AND CIVIC CENTER BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19004 BUSINESS PHONE: 267-426-6957 MAIL ADDRESS: STREET 1: 34TH STREET AND CIVIC CENTER BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Aevi Genomic Medicine, Inc. CENTRAL INDEX KEY: 0001138776 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 980217544 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 435 DEVON PARK DRIVE, STREET 2: SUITE 715 CITY: WAYNE STATE: PA ZIP: 19087 BUSINESS PHONE: 610-254-4201 MAIL ADDRESS: STREET 1: 435 DEVON PARK DRIVE, STREET 2: SUITE 715 CITY: WAYNE STATE: PA ZIP: 19087 FORMER COMPANY: FORMER CONFORMED NAME: MEDGENICS, INC. DATE OF NAME CHANGE: 20090623 FORMER COMPANY: FORMER CONFORMED NAME: MEDGENICS INC DATE OF NAME CHANGE: 20010419 3 1 tv476728_3.xml OWNERSHIP DOCUMENT X0206 3 2017-10-17 0 0001138776 Aevi Genomic Medicine, Inc. GNMX 0001632060 Children's Hospital of Philadelphia Foundation 3401 CIVIC CENTER BOULEVARD PHILADELPHIA PA 19104 0 0 1 0 Common Stock 15873016 D Warrant 2.84 2017-10-17 2022-10-17 Common Stock 2824217 D /s/ Thomas J. Todorow, Chief Financial Officer 2017-10-17