0001796430-21-000001.txt : 20210105
0001796430-21-000001.hdr.sgml : 20210105
20210104195320
ACCESSION NUMBER: 0001796430-21-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210105
DATE AS OF CHANGE: 20210104
EFFECTIVENESS DATE: 20210105
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: 021-385194
FILM NUMBER: 21503522
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
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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 AVE.
Unit 50
Denver
CO
COLORADO
80239
Executive Officer
Director
Jeffrey
L
Hval
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Executive Officer
Director
Mark
M
Spiecker
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Executive Officer
Director
Dan
Seff
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Director
Jerrod
Milton
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Director
Donna
Lynne
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Director
Stephen
Davis
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Director
Chet
Kaczor
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Director
Steven
Summer
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Director
Pharmaceuticals
Decline to Disclose
- 06b
false
2020-12-21
false
true
true
false
5000
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57000000
false
1
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0
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STAQ Pharma, Inc.
/s/ Joseph W. Bagan
Joseph W. Bagan
Chief Executive Officer
2021-01-04