0001183740-17-000002.txt : 20170103 0001183740-17-000002.hdr.sgml : 20170103 20170103133103 ACCESSION NUMBER: 0001183740-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170103 DATE AS OF CHANGE: 20170103 EFFECTIVENESS DATE: 20170103 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AVADIM TECHNOLOGIES INC CENTRAL INDEX KEY: 0001614824 IRS NUMBER: 463578411 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-277499 FILM NUMBER: 17501122 BUSINESS ADDRESS: STREET 1: 81 THOMPSON STREET CITY: ASHEVILLE STATE: NC ZIP: 28803 BUSINESS PHONE: 828-251-7111 MAIL ADDRESS: STREET 1: 81 THOMPSON STREET CITY: ASHEVILLE STATE: NC ZIP: 28803 D 1 primary_doc.xml X0707 D LIVE 0001614824 AVADIM TECHNOLOGIES INC 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 828-251-7111 WYOMING None None Corporation true 2013 DAVID FANN 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Executive Officer Director STEVE WOODY 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Executive Officer Director PAUL COX 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Executive Officer Director LOUIS BUCK 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director PAUL COVIELLO 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director KARAN RAI 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director CHARLES OWEN 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director JOE MCGUIRE 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Executive Officer Other Decline to Disclose 06b false 2016-12-21 false true false 0 5168 5168 0 Total Offering Amount represents the aggregate deemed issue price of 1,216 shares, issued as payment for services, @ $4.25 per share. false 1 0 0 0 false AVADIM TECHNOLOGIES INC /s/ DAVID FANN DAVID FANN PRESIDENT 2016-12-28