0001722397-23-000001.txt : 20230428
0001722397-23-000001.hdr.sgml : 20230428
20230428154932
ACCESSION NUMBER: 0001722397-23-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20230428
DATE AS OF CHANGE: 20230428
EFFECTIVENESS DATE: 20230428
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: STAQ Pharma, Inc.
CENTRAL INDEX KEY: 0001722397
IRS NUMBER: 364670631
STATE OF INCORPORATION: CO
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-480367
FILM NUMBER: 23865549
BUSINESS ADDRESS:
STREET 1: 14135 E. 42ND AVE.
STREET 2: UNIT 50
CITY: DENVER
STATE: CO
ZIP: 80239
BUSINESS PHONE: 720-961-2720
MAIL ADDRESS:
STREET 1: 14135 E. 42ND AVE.
STREET 2: UNIT 50
CITY: DENVER
STATE: CO
ZIP: 80239
FORMER COMPANY:
FORMER CONFORMED NAME: QualMed Pharmacy, Inc.
DATE OF NAME CHANGE: 20171113
D
1
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STAQ Pharma, Inc.
14135 E. 42ND AVE.
UNIT 50
DENVER
CO
COLORADO
80239
720-961-2720
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QualMed Pharmacy, Inc.
Corporation
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Joseph
W
Bagan
14135 E. 42nd Avenue
Unit 50
Denver
CO
COLORADO
80239
Executive Officer
Director
Jeffrey
L
Hval
14135 E. 42nd Avenue
Unit 50
Denver
CO
COLORADO
80239
Executive Officer
Director
Mark
M
Spiecker
14135 E. 42nd Avenue
Unit 50
Denver
CO
COLORADO
80239
Executive Officer
Director
Dan
Seff
14135 E. 42nd Avenue
Unit 50
Denver
CO
COLORADO
80239
Director
Jerrod
Milton
14135 E. 42nd Avenue
Unit 50
Denver
CO
COLORADO
80239
Director
Abram
Gordon
14135 E. 42nd Avenue
Unit 50
Denver
CO
COLORADO
80239
Director
Scott
Hawig
14135 E. 42nd Avenue
Unit 50
Denver
CO
COLORADO
80239
Director
Chet
Kaczor
14135 E. 42nd Avenue
Denver
CO
COLORADO
80239
Director
Carol
Lewis
14135 E. 42nd Avenue
Denver
CO
COLORADO
80239
Director
Pharmaceuticals
Decline to Disclose
- 06b
false
2023-04-17
false
true
false
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STAQ Pharma, Inc.
/s/ Joseph W. Bagan
Joseph W. Bagan
Chief Executive Officer
2023-04-28