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 X0708 D 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