0001611356-23-000001.txt : 20230720 0001611356-23-000001.hdr.sgml : 20230720 20230720153450 ACCESSION NUMBER: 0001611356-23-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230720 DATE AS OF CHANGE: 20230720 EFFECTIVENESS DATE: 20230720 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-372238 FILM NUMBER: 231099611 BUSINESS ADDRESS: STREET 1: 11811 NORTH TATUM BLVD. STREET 2: SUITE 2400 CITY: PHOENIX STATE: AZ ZIP: 85028 BUSINESS PHONE: 877 773-8253 MAIL ADDRESS: STREET 1: 11811 NORTH TATUM BLVD. STREET 2: SUITE 2400 CITY: PHOENIX STATE: AZ ZIP: 85028 D/A 1 primary_doc.xml X0708 D/A LIVE 0001611356 Prevalent, Inc. 11811 NORTH TATUM BLVD. SUITE 2400 PHOENIX AZ ARIZONA 85028 877 773-8253 DELAWARE None None Corporation true Kevin Hickey 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85028 Executive Officer Director Chief Executive Officer James Ray 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85028 Executive Officer Vice President of Finance, Corporate Secretary and Treasurer Thomas Krane c/o Insight Partners 1114 Avenue of the Americas, 36th floor New York NY NEW YORK 10036 Director Norman W. Menz III 11811 N. Tatum Blvd. Suite 2400 Phoenix AZ ARIZONA 85028 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 true 0001611356-22-000001 2019-05-29 true true true true true Interests in an Equity Incentive Plan false 0 Indefinite 6236499 Indefinite false 11 0 0 0 false Prevalent, Inc. Kevin Hickey Kevin Hickey Chief Executive Officer 2023-07-20