0001655687-21-000002.txt : 20210323
0001655687-21-000002.hdr.sgml : 20210323
20210323163735
ACCESSION NUMBER: 0001655687-21-000002
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210323
DATE AS OF CHANGE: 20210323
EFFECTIVENESS DATE: 20210323
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: 021-393234
FILM NUMBER: 21765236
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 200
Overland Park
KS
KANSAS
66202
Executive Officer
Director
Manager of Issuer and Chief Executive Officer
Paul
Morris
6803 W. 64th Street
Building 6, Suite 200
Overland Park
KS
KANSAS
66202
Executive Officer
Director
Manager of Issuer, President and Chief Operating Officer
Matt
Ferguson
6803 W. 64th Street
Building 6, Suite 200
Overland Park
KS
KANSAS
66202
Director
Manager of Issuer
Clete
Brewer
6803 W. 64th Street
Building 6, Suite 200
Overland Park
KS
KANSAS
66202
Director
Manager of Issuer
Brian
Gillespie
6803 W. 64th Street
Building 6, Suite 200
Overland Park
KS
KANSAS
66202
Executive Officer
Chief Technology Officer
Dorothy
Riviere
6803 W. 64th Street
Building 6, Suite 200
Overland Park
KS
KANSAS
66202
Executive Officer
Chief Clinical Officer
James
Rogers
6803 W. 64th Street
Building 6, Suite 200
Overland Park
KS
KANSAS
66202
Executive Officer
Chief Marketing Officer
Thomas
Jantsch
6803 W. 64th Street
Building 6, Suite 200
Overland Park
KS
KANSAS
66202
Executive Officer
Chief Financial Officer
Zane
Burke
6803 W. 64th Street
Building 6, Suite 200
Overland Park
KS
KANSAS
66202
Director
Manager of Issuer
Other Technology
Decline to Disclose
- 06b
false
2021-03-11
false
true
true
true
true
Convertible Promissory Notes and Warrants.
false
0
17000000
6661190
10338810
false
10
0
0
0
false
Bardavon Health Innovations, LLC
/s/ Thomas Jantsch
Thomas Jantsch
CFO
2021-03-23