0001539252-15-000001.txt : 20150316 0001539252-15-000001.hdr.sgml : 20150316 20150316140225 ACCESSION NUMBER: 0001539252-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150316 DATE AS OF CHANGE: 20150316 EFFECTIVENESS DATE: 20150316 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provista Diagnostics Inc. CENTRAL INDEX KEY: 0001539252 IRS NUMBER: 274282214 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-235976 FILM NUMBER: 15702149 BUSINESS ADDRESS: STREET 1: 17301 N. PERIMETER DRIVE, SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85085 BUSINESS PHONE: 602-224-5500 MAIL ADDRESS: STREET 1: 17301 N. PERIMETER DRIVE, SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85085 D 1 primary_doc.xml X0707 D LIVE 0001539252 Provista Diagnostics Inc. 17301 N. PERIMETER DRIVE, SUITE 100 SCOTTSDALE AZ ARIZONA 85255 602-224-5500 DELAWARE None None Corporation true David Reese 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Executive Officer Director John Fermanis 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Executive Officer Anne Busquet 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Director Jeffrey Gilman 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Director Robert Hariri 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Director Jack Levine 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Director John Macaskill 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Director John Zicarelli 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Director Yoji Nimura 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Director Thomas Mendell 17301 N. Perimeter Dr., Suite 100 Scottsdale AZ ARIZONA 85255 Director Biotechnology $1 - $1,000,000 06b false 2015-02-17 false true false 20162 3870986 3870986 0 false 24 0 0 0 false Provista Diagnostics Inc. John Fermanis John Fermanis Chief Financial Officer 2015-03-16