0001796430-21-000003.txt : 20211223
0001796430-21-000003.hdr.sgml : 20211223
20211223150001
ACCESSION NUMBER: 0001796430-21-000003
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20211223
DATE AS OF CHANGE: 20211223
EFFECTIVENESS DATE: 20211223
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-385194
FILM NUMBER: 211516837
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/A
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
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QualMed Pharmacy, Inc.
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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
Scott
Hawig
14135 E. 42nd Ave.
Unit 50
Denver
CO
COLORADO
80239
Director
Abram
Gordon
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
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0001796430-21-000001
2020-12-21
true
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STAQ Pharma, Inc.
/s/ Joseph W. Bagan
Joseph W. Bagan
Chief Executive Officer
2021-12-23