0001611356-19-000002.txt : 20190731 0001611356-19-000002.hdr.sgml : 20190731 20190731124521 ACCESSION NUMBER: 0001611356-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190731 DATE AS OF CHANGE: 20190731 EFFECTIVENESS DATE: 20190731 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prevalent, Inc. CENTRAL INDEX KEY: 0001611356 IRS NUMBER: 471032214 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-345471 FILM NUMBER: 19988129 BUSINESS ADDRESS: STREET 1: 30 TECHNOLOGY DRIVE STREET 2: SUITE 1Q CITY: WARREN STATE: NJ ZIP: 07059 BUSINESS PHONE: 908-781-5555 MAIL ADDRESS: STREET 1: 30 TECHNOLOGY DRIVE STREET 2: SUITE 1Q CITY: WARREN STATE: NJ ZIP: 07059 D 1 primary_doc.xml X0708 D LIVE 0001611356 Prevalent, Inc. 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85028 877-773-8253 DELAWARE None None Corporation true 2014 Kevin Hickey 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85058 Executive Officer Director Chief Executive Officer James Ray 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85058 Executive Officer Vice President of Finance, Corporate Secretary and Treasurer Kevin Charest 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85058 Director Jonathan Dambrot 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85058 Director Thomas Krane c/o Insight Partners 1114 Avenue of the Americas, 36th floor New York NY NEW YORK 10036 Director Doug McNary 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85058 Director Norman W. Menz III 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85058 Director Michael Triplett c/o Insight Partners 1114 Avenue of the Americas, 36th floor New York NY NEW YORK 10036 Director Computers Decline to Disclose 06b false 2019-05-29 true true true true true Interests in an Equity Incentive Plan false 0 Indefinite 10173269 Indefinite false 7 0 0 0 false Prevalent, Inc. Kevin Hickey Kevin Hickey Chief Executive Officer 2019-07-30