0001647380-17-000002.txt : 20170613 0001647380-17-000002.hdr.sgml : 20170613 20170613122205 ACCESSION NUMBER: 0001647380-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170613 DATE AS OF CHANGE: 20170613 EFFECTIVENESS DATE: 20170613 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Arivale Inc. CENTRAL INDEX KEY: 0001647380 IRS NUMBER: 463801506 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-288607 FILM NUMBER: 17908338 BUSINESS ADDRESS: STREET 1: 710 SECOND AVE STE. 410 CITY: SEATTLE STATE: WA ZIP: 98104 BUSINESS PHONE: 206-981-5821 MAIL ADDRESS: STREET 1: 710 SECOND AVE STE. 410 CITY: SEATTLE STATE: WA ZIP: 98104 D 1 primary_doc.xml X0707 D LIVE 0001647380 Arivale Inc. 710 SECOND AVE STE. 410 SEATTLE WA WASHINGTON 98104 206-981-5821 WASHINGTON None None Corporation true 2013 Clayton Lewis c/o Arivale Inc. 710 Second Avenue Ste. 410 Seattle WA WASHINGTON 98104 Executive Officer Director Tim Kilgallon c/o Arivale Inc. 710 Second Avenue Ste. 410 Seattle WA WASHINGTON 98104 Director Nathan Price c/o Arivale Inc. 710 Second Avenue Ste. 410 Seattle WA WASHINGTON 98104 Director Dan Levitan c/o Arivale Inc. 710 Second Avenue Ste. 410 Seattle WA WASHINGTON 98104 Director Terry McGuire c/o Arivale Inc. 710 Second Avenue Ste. 410 Seattle WA WASHINGTON 98104 Director Robert Nelsen c/o Arivale Inc. 710 Second Avenue Ste. 410 Seattle WA WASHINGTON 98104 Director Other Health Care Decline to Disclose 06b false 2017-05-31 false true false 0 29999999 13600004 16399995 false 9 0 0 0 false Arivale Inc. /s/ Clayton Lewis Clayton Lewis President 2017-06-13