0001658799-16-000002.txt : 20160720 0001658799-16-000002.hdr.sgml : 20160720 20160720144123 ACCESSION NUMBER: 0001658799-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160720 DATE AS OF CHANGE: 20160720 EFFECTIVENESS DATE: 20160720 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rivanna Medical, LLC CENTRAL INDEX KEY: 0001658799 IRS NUMBER: 272617660 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-267391 FILM NUMBER: 161775197 BUSINESS ADDRESS: STREET 1: 107 E. WATER STREET CITY: CHARLOTTESVILLE STATE: VA ZIP: 22902 BUSINESS PHONE: 800-645-7508 MAIL ADDRESS: STREET 1: 107 E. WATER STREET CITY: CHARLOTTESVILLE STATE: VA ZIP: 22902 D 1 primary_doc.xml X0707 D LIVE 0001658799 Rivanna Medical, LLC 107 E. WATER STREET CHARLOTTESVILLE VA VIRGINIA 22902 800-645-7508 VIRGINIA None None Limited Liability Company true Frank William Mauldin, Jr. 104 Burnet Way Charlottesville VA VIRGINIA 22902 Executive Officer Director Timothy R. Ober PO Box 1600 Gordonsville VA VIRGINIA 22942 Director G. Wayne Moore 1550 Colard Lane Lyons CO COLORADO 80540 Director Kevin Owen 1304 Stonegate Ct. Crozet VA VIRGINIA 22932 Director Joel B. Weinstein 9 Barretts Road Hudson MA MASSACHUSETTS 01749 Director Other Health Care Decline to Disclose 06b false 2016-07-08 false true false 8500 3000000 170000 2830000 false 1 0 0 180000 true false Rivanna Medical, LLC /F. William Mauldin, Jr./ F. William Mauldin, Jr. CEO 2016-07-20