0001183740-20-000012.txt : 20200117 0001183740-20-000012.hdr.sgml : 20200117 20200117155626 ACCESSION NUMBER: 0001183740-20-000012 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200117 DATE AS OF CHANGE: 20200117 EFFECTIVENESS DATE: 20200117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AVADIM HEALTH, INC. CENTRAL INDEX KEY: 0001614824 STANDARD INDUSTRIAL CLASSIFICATION: PERFUMES, COSMETICS & OTHER TOILET PREPARATIONS [2844] IRS NUMBER: 463578411 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-358441 FILM NUMBER: 20533501 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 1 primary_doc.xml X0708 D 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 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 LINDA MCGOLDRICK 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director JAMES ROSATI 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director Other Decline to Disclose 06b false 2019-09-27 false true false 0 35000 35000 0 Total Offering Amount represents the aggregate deemed issue price of 8,235 shares, issued as payment for services, @ $4.25 per share. false 1 0 0 0 false AVADIM HEALTH, INC. /s/ David Fann DAVID FANN President 2020-01-16