0001655687-19-000002.txt : 20191219
0001655687-19-000002.hdr.sgml : 20191219
20191219144751
ACCESSION NUMBER: 0001655687-19-000002
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20191219
DATE AS OF CHANGE: 20191219
EFFECTIVENESS DATE: 20191219
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bardavon Health Innovations, LLC
CENTRAL INDEX KEY: 0001655687
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-355965
FILM NUMBER: 191295263
BUSINESS ADDRESS:
STREET 1: 6701 W. 64TH STREET
STREET 2: BUILDING 5, SUITE 125
CITY: OVERLAND PARK
STATE: KS
ZIP: 66202
BUSINESS PHONE: 913-236-1020
MAIL ADDRESS:
STREET 1: 6701 W. 64TH STREET
STREET 2: BUILDING 5, SUITE 125
CITY: OVERLAND PARK
STATE: KS
ZIP: 66202
D
1
primary_doc.xml
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LIVE
0001655687
Bardavon Health Innovations, LLC
6803 W. 64th Street
Building 6, Suite 200
OVERLAND PARK
KS
KANSAS
66202
913-236-1020
DELAWARE
None
None
Limited Liability Company
true
Matthew
J
Condon
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Executive Officer
Director
Manager of Issuer and Chief Executive Officer
Paul
Morris
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Executive Officer
Director
Manager of Issuer, President and Chief Operating Officer
Jeff
Hogland
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Executive Officer
Director
Manager of Issuer and Chief Technical Officer
Matt
Ferguson
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Director
Manager of Issuer
Clete
Brewer
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Director
Manager of Issuer
Brian
Gillespie
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Executive Officer
Chief Technology Officer
Dorothy
Riviere
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Executive Officer
Chief Clinical Officer
James
Rogers
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Executive Officer
Chief Marketing Officer
Thomas
Jantsch
6803 W. 64th Street
Building 6, Suite 550
Overland Park
KS
KANSAS
66202
Executive Officer
Chief Financial Officer
Other Technology
Decline to Disclose
- 06b
false
true
false
true
true
true
true
Convertible Promissory Note
false
0
Indefinite
0
Indefinite
false
0
0
0
0
false
Bardavon Health Innovations, LLC
Matthew J Condon
Matthew J Condon
Manager of Issuer and CEO
2019-12-16