| | | | | | | | | | | | | | | | | | | | | |
EDGAR Submission |
Schema Version: X0706 |
Submission Type: D |
Test or Live: LIVE |
Primary Issuer: |
| CIK: 1470994 |
| Entity Name: Promentis Pharmaceuticals, Inc. |
| Issuer Address: |
| | Street 1: 826 N. PLANKINTON AVE., STE. 400 |
| | City: MILWAUKEE |
| | State or Country: WI |
| | State or Country Description: WISCONSIN |
| | ZIP Code: 53203 |
| Issuer Phone Number: 414-238-2992 |
| Jurisdiction of Inc.: DELAWARE |
| Issuer Previous Name List: |
| | Value: None |
| EDGAR Previous Name List: |
| | Value: None |
| Entity Type: Corporation |
| Year of Inc.: |
| | Over Five Years? Yes |
Related-Persons List: |
| Related-Person Info: |
| | Related-Person Name: |
| | | First Name: Chad |
| | | Last Name: Beyer |
| | Related-Person Address: |
| | | Street 1: 826 N. Plankinton Ave., Ste. 400 |
| | | City: Milwaukee |
| | | State or Country: WI |
| | | State or Country Description: WISCONSIN |
| | | ZIP Code: 53203 |
| | Related-Person Relationship List: |
| | | Relationship: Executive Officer |
| | Relationship Clarification: |
| Related-Person Info: |
| | Related-Person Name: |
| | | First Name: David |
| | | Middle Name: A. |
| | | Last Name: Baker, PhD |
| | Related-Person Address: |
| | | Street 1: 826 N. Plankinton Ave., Ste. 400 |
| | | City: Milwaukee |
| | | State or Country: WI |
| | | State or Country Description: WISCONSIN |
| | | ZIP Code: 53203 |
| | Related-Person Relationship List: |
| | | Relationship: Director |
| | Relationship Clarification: |
| Related-Person Info: |
| | Related-Person Name: |
| | | First Name: Klaus |
| | | Last Name: Veitinger, MD, PhD |
| | Related-Person Address: |
| | | Street 1: 826 N. Plankinton Ave., Ste. 400 |
| | | City: Milwaukee |
| | | State or Country: WI |
| | | State or Country Description: WISCONSIN |
| | | ZIP Code: 53203 |
| | Related-Person Relationship List: |
| | | Relationship: Director |
| | Relationship Clarification: |
| Related-Person Info: |
| | Related-Person Name: |
| | | First Name: Ed |
| | | Last Name: Barthell, MD |
| | Related-Person Address: |
| | | Street 1: 125 E. Barkwood Ct. |
| | | City: Mequon |
| | | State or Country: WI |
| | | State or Country Description: WISCONSIN |
| | | ZIP Code: 53092 |
| | Related-Person Relationship List: |
| | | Relationship: Director |
| | Relationship Clarification: |
| Related-Person Info: |
| | Related-Person Name: |
| | | First Name: Patrick |
| | | Last Name: Schwarz-Schuette |
| | Related-Person Address: |
| | | Street 1: Black Horse Investments GmbH |
| | | City: 40213 Dusseldorf |
| | | State or Country: 2M |
| | | State or Country Description: GERMANY |
| | | ZIP Code: 40547 |
| | Related-Person Relationship List: |
| | | Relationship: Director |
| | Relationship Clarification: |
| Related-Person Info: |
| | Related-Person Name: |
| | | First Name: Virinder |
| | | Last Name: Nohria, PhD |
| | Related-Person Address: |
| | | Street 1: 826 N. Plankinton Ave., Ste. 400 |
| | | City: Milwaukee |
| | | State or Country: WI |
| | | State or Country Description: WISCONSIN |
| | | ZIP Code: 53203 |
| | Related-Person Relationship List: |
| | | Relationship: Director |
| | Relationship Clarification: |
| Related-Person Info: |
| | Related-Person Name: |
| | | First Name: Thomas |
| | | Last Name: Shannon |
| | Related-Person Address: |
| | | Street 1: 3657 Birchwood Rd. |
| | | City: Saukville |
| | | State or Country: WI |
| | | State or Country Description: WISCONSIN |
| | | ZIP Code: 53080 |
| | Related-Person Relationship List: |
| | | Relationship: Director |
| | Relationship Clarification: |
| Related-Person Info: |
| | Related-Person Name: |
| | | First Name: Daniel |
| | | Last Name: Lawton |
| | Related-Person Address: |
| | | Street 1: 826 N. Plankinton Ave,. Ste. 400 |
| | | City: Milwaukee |
| | | State or Country: WI |
| | | State or Country Description: WISCONSIN |
| | | ZIP Code: 53203 |
| | Related-Person Relationship List: |
| | | Relationship: Director |
| | Relationship Clarification: |
Offering Data: |
| Industry Group: |
| | Industry Group Type: Biotechnology |
| Issuer Size: |
| | Revenue Range: No Revenues |
| Federal Exemptions Exclusions: |
| | Item: 06 |
| Type of Filing: |
| | New or Amendment: |
| | | Is Amendment? No |
| | Date of First Sale: |
| | | Value: 3/18/13 |
| Duration of Offering: |
| | More Than One Year? No |
| Types of Securities Offered: |
| | Is Debt Type? Yes |
| | Is Option to Acquire Type? Yes |
| Business-Combination Transaction: |
| | Is Business-Combination Transaction? No |
| | Clarification of Response: |
| Minimum Investment Accepted: 0 |
| Sales Compensation List: |
| Offering Sales Amounts: |
| | Total Offering Amount: 750,000 |
| | Total Amount Sold: 750,000 |
| | Total Remaining: 0 |
| | Clarification of Response: |
| Investors: |
| | Has Non-Accredited Investors? No |
| | Total Number Already Invested: 6 |
| Sales Commissions Finders Fees: |
| | Sales Commissions: |
| | | Dollar Amount: 0 |
| | Finders Fees: |
| | | Dollar Amount: 0 |
| | Clarification of Response: |
| Use of Proceeds: |
| | Gross Proceeds Used: |
| | | Dollar Amount: 0 |
| | | Is Estimate? Yes |
| | Clarification of Response: |
| Signature Block: |
| | Authorized Representative? No |
| | Signature: |
| | | Issuer Name: Promentis Pharmaceuticals, Inc. |
| | | Signature Name: Chad Beyer |
| | | Name of Signer: Chad Beyer |
| | | Signature Title: President |
| | | Signature Date: 4/1/13 |