0001592082-13-000001.txt : 20131203
0001592082-13-000001.hdr.sgml : 20131203
20131203134701
ACCESSION NUMBER: 0001592082-13-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20131203
DATE AS OF CHANGE: 20131203
EFFECTIVENESS DATE: 20131203
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Provell Pharmaceuticals, LLC
CENTRAL INDEX KEY: 0001592082
IRS NUMBER: 999999999
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-207299
FILM NUMBER: 131253973
BUSINESS ADDRESS:
STREET 1: 1801 HORESHOE PIKE
CITY: HONEY BROOK
STATE: PA
ZIP: 19341
BUSINESS PHONE: 610-942-9455
MAIL ADDRESS:
STREET 1: 1801 HORESHOE PIKE
CITY: HONEY BROOK
STATE: PA
ZIP: 19341
D
1
primary_doc.xml
X0707
D
LIVE
0001592082
Provell Pharmaceuticals, LLC
1801 HORESHOE PIKE
HONEY BROOK
PA
PENNSYLVANIA
19341
610-942-9455
PENNSYLVANIA
Provell II, LLC
None
Limited Liability Company
true
James
G.
Small
1801 Horeshoe Pike
Honey Brook
PA
PENNSYLVANIA
19344
Executive Officer
Manager, President, and Chief Executive Officer
Pharmaceuticals
Decline to Disclose
- 06b
false
2013-10-03
false
true
false
0
5000000
5000000
0
true
0
1
0
0
0
true
Mr. Small will be entitled to fees for his services as Manager of Issuer in such amounts as may be approved by the Board of Issuer.
false
Provell Pharmaceuticals, LLC
/s/ James G. Small
James G. Small
Manager
2013-12-03