0001724116-17-000001.txt : 20171201 0001724116-17-000001.hdr.sgml : 20171201 20171201110015 ACCESSION NUMBER: 0001724116-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171201 DATE AS OF CHANGE: 20171201 EFFECTIVENESS DATE: 20171201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Revel Health, LLC CENTRAL INDEX KEY: 0001724116 IRS NUMBER: 721620748 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-299878 FILM NUMBER: 171233078 BUSINESS ADDRESS: STREET 1: 123 NORTH 3RD STREET, SUITE 605 CITY: MINNEAPOLIS STATE: MN ZIP: 55401 BUSINESS PHONE: 612-235-2111 MAIL ADDRESS: STREET 1: 123 NORTH 3RD STREET, SUITE 605 CITY: MINNEAPOLIS STATE: MN ZIP: 55401 D 1 primary_doc.xml X0708 D LIVE 0001724116 Revel Health, LLC 123 NORTH 3RD STREET, SUITE 605 MINNEAPOLIS MN MINNESOTA 55401 612-235-2111 DELAWARE Healthtel, LLC None Limited Liability Company true Conor Green 123 North 3rd Street, Suite 605 Minneaplolis MN MINNESOTA 55401 Director Adam Letson 123 North 3rd Street, Suite 605 Minneapolis MN MINNESOTA 55401 Director Jeffrey L Fritz 123 North 3rd Street, Suite 605 Minneaplolis MN MINNESOTA 55401 Executive Officer Director Daniel Jason McAthie 123 North 3rd Street, Suite 605 Minneaplolis MN MINNESOTA 55401 Executive Officer Director Christopher Goggin 123 North 3rd Street, Suite 605 Minneaplolis MN MINNESOTA 55401 Executive Officer Scib Ebel 123 North 3rd Street, Suite 605 Minneaplolis MN MINNESOTA 55401 Executive Officer Other Health Care Decline to Disclose 06b false 2017-11-17 false true false 0 17478157 17478157 0 false 1 0 0 0 true false Revel Health, LLC /s/ Daniel Jason McAthie Daniel Jason McAthie Chief Financial Officer 2017-12-01