0001183740-19-000003.txt : 20190111 0001183740-19-000003.hdr.sgml : 20190111 20190111132825 ACCESSION NUMBER: 0001183740-19-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20190111 DATE AS OF CHANGE: 20190111 EFFECTIVENESS DATE: 20190111 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AVADIM HEALTH, INC. CENTRAL INDEX KEY: 0001614824 IRS NUMBER: 463578411 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-283911 FILM NUMBER: 19522020 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 FORMER COMPANY: FORMER CONFORMED NAME: AVADIM TECHNOLOGIES INC DATE OF NAME CHANGE: 20140724 D/A 1 primary_doc.xml X0708 D/A LIVE 0001614824 AVADIM HEALTH, INC. 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 828-251-7111 DELAWARE AVADIM TECHNOLOGIES INC Corporation true 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 06c true 0001183740-18-000128 2017-03-15 true true false 0 VENTURE.CO BROKERAGE SERVICES LLC 173924 None None 159 BANK STREET, SUITE 202 BURLINGTON VT VERMONT 05401 AZ ARIZONA CA CALIFORNIA CO COLORADO DE DELAWARE FL FLORIDA GA GEORGIA IL ILLINOIS IA IOWA MN MINNESOTA NE NEBRASKA NJ NEW JERSEY NC NORTH CAROLINA OH OHIO PA PENNSYLVANIA RI RHODE ISLAND SC SOUTH CAROLINA TN TENNESSEE TX TEXAS UT UTAH VA VIRGINIA WA WASHINGTON WI WISCONSIN false 30000006 21915582 8084424 Total Offering Amount represents the price of 7,058,825 shares @ $4.25 per share to be issued pursuant to a private placement, of which 5,156,619 shares have been issued to date. false 275 580444 0 In addition to the Commissions, the Recipient under Item 12 has been paid a due diligence fee of $10,000 and is entitled to a $20,000 monthly retainer. 0 false AVADIM HEALTH, INC. /s/ David Fann DAVID FANN President 2019-01-11