0001682808-16-000001.txt : 20161116 0001682808-16-000001.hdr.sgml : 20161116 20161116160606 ACCESSION NUMBER: 0001682808-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161116 DATE AS OF CHANGE: 20161116 EFFECTIVENESS DATE: 20161116 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ELIAZ THERAPEUTICS, INC. CENTRAL INDEX KEY: 0001682808 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274634 FILM NUMBER: 162002489 BUSINESS ADDRESS: STREET 1: 396 TESCONI COURT CITY: SANTA ROSA STATE: CA ZIP: 95401 BUSINESS PHONE: 707-542-5900 MAIL ADDRESS: STREET 1: 396 TESCONI COURT CITY: SANTA ROSA STATE: CA ZIP: 95401 D 1 primary_doc.xml X0707 D LIVE 0001682808 ELIAZ THERAPEUTICS, INC. 396 TESCONI COURT SANTA ROSA CA CALIFORNIA 95401 707-542-5900 CALIFORNIA None None Corporation true 2015 Isaac Eliaz 396 Tesconi Court Santa Rosa CA CALIFORNIA 95401 Executive Officer Director Other Health Care Not Applicable 06b false 2016-11-09 false true true false 1000000 2000000 2000000 0 Convertible Promissory Note false 1 0 0 0 All proceeds shall be used as working capital false ELIAZ THERAPEUTICS, INC. /s/Isaac Eliaz Isaac Eliaz CEO 2016-11-16