0001183740-19-000040.txt : 20190325 0001183740-19-000040.hdr.sgml : 20190325 20190322192917 ACCESSION NUMBER: 0001183740-19-000040 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20190325 DATE AS OF CHANGE: 20190322 EFFECTIVENESS DATE: 20190325 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AVADIM HEALTH, INC. CENTRAL INDEX KEY: 0001614824 IRS NUMBER: 463578411 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-335549 FILM NUMBER: 19701097 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 FORMER COMPANY: FORMER CONFORMED NAME: AVADIM TECHNOLOGIES INC DATE OF NAME CHANGE: 20140724 D 1 primary_doc.xml X0708 D LIVE 0001614824 AVADIM HEALTH, INC. 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 828-251-7111 DELAWARE AVADIM TECHNOLOGIES INC Corporation true 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 DEWEY ANDREW 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Director RALPH LOMBARDO 81 THOMPSON STREET ASHEVILLE NC NORTH CAROLINA 28803 Executive Officer 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 06c false 2018-08-13 false true false 0 425000 425000 0 Total Offering Amount represents the price of 100,000 shares at a deemed price of $4.25 per share, granted pursuant to a restricted stock plan. false 1 0 0 0 false AVADIM HEALTH, INC. /s/ David Fann DAVID FANN President 2019-03-19