0001183740-14-000365.txt : 20141205
0001183740-14-000365.hdr.sgml : 20141205
20141205150015
ACCESSION NUMBER: 0001183740-14-000365
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20141205
DATE AS OF CHANGE: 20141205
EFFECTIVENESS DATE: 20141205
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: AVADIM TECHNOLOGIES INC
CENTRAL INDEX KEY: 0001614824
IRS NUMBER: 463578411
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-229563
FILM NUMBER: 141269170
BUSINESS ADDRESS:
STREET 1: 81 THOMPSON STREET
CITY: ASHEVILLE
STATE: NC
ZIP: 28803
BUSINESS PHONE: 828-251-7111
MAIL ADDRESS:
STREET 1: 81 THOMPSON STREET
CITY: ASHEVILLE
STATE: NC
ZIP: 28803
D
1
primary_doc.xml
X0707
D
LIVE
0001614824
AVADIM TECHNOLOGIES INC
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
828-251-7111
WYOMING
None
None
Corporation
true
2013
DAVID
FANN
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Executive Officer
Director
STEVE
WOODY
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Executive Officer
Director
PAUL
COX
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Executive Officer
Director
CHARLES
OWEN
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Director
LOUIS
BUCK
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Director
PAUL
COVIELLO
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Director
JB
HOLEMAN
81 THOMPSON STREET
ASHEVILLE
NC
NORTH CAROLINA
28803
Director
Other
Decline to Disclose
- 06b
false
2014-11-19
false
true
false
0
105000
105000
0
13(a) represents the deemed issuance price of the shares (300,000 shares @ $0.35 per share), issued in connection with an employment agreement.
false
1
0
0
0
false
AVADIM TECHNOLOGIES INC
/s/ DAVID FANN
DAVID FANN
PRESIDENT
2014-12-03