0001183740-17-000053.txt : 20170317 0001183740-17-000053.hdr.sgml : 20170317 20170317150134 ACCESSION NUMBER: 0001183740-17-000053 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170317 DATE AS OF CHANGE: 20170317 EFFECTIVENESS DATE: 20170317 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: 021-282846 FILM NUMBER: 17697599 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 LOUIS BUCK 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director PAUL COVIELLO 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director KARAN RAI 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director CHARLES OWEN 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director JOE MCGUIRE 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Executive Officer HUMBERTO ANTUNES 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director Other Decline to Disclose 06b false 2017-03-04 false true false 0 17000 17000 0 Total Offering Amount represents the aggregate deemed issue price of 4,000 shares, issued as payment for services, @ $4.25 per share. false 1 0 0 0 false AVADIM TECHNOLOGIES INC /s/ DAVID FANN DAVID FANN PRESIDENT 2017-03-17