0001183740-17-000145.txt : 20170818
0001183740-17-000145.hdr.sgml : 20170818
20170817212441
ACCESSION NUMBER: 0001183740-17-000145
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170818
DATE AS OF CHANGE: 20170817
EFFECTIVENESS DATE: 20170818
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: 021-293082
FILM NUMBER: 171040012
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
X0708
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
DEWEY
ANDREW
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Director
RALPH
LOMBARDO
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Executive Officer
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
HUMBERTO
ANTUNES
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Director
Other
Decline to Disclose
- 06b
false
2016-05-05
true
true
true
false
0
250000
0
250000
Total Offering Amount represents the exercise price of the options (100,000 options @ $2.50). There is no guarantee the options will be exercised.
false
1
0
0
0
false
AVADIM TECHNOLOGIES INC
/s/ DAVID FANN
DAVID FANN
PRESIDENT
2017-07-27