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 primary_doc.xml X0708 D LIVE 0001722397 STAQ Pharma, Inc. 14135 E. 42ND AVE. UNIT 50 DENVER CO COLORADO 80239 720-961-2720 COLORADO QualMed Pharmacy, Inc. Corporation true 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 1000000 20000000 8011665 11988335 false 10 0 0 0 false STAQ Pharma, Inc. /s/ Joseph W. Bagan Joseph W. Bagan Chief Executive Officer 2023-04-28