0001619391-14-000001.txt : 20140916 0001619391-14-000001.hdr.sgml : 20140916 20140915183022 ACCESSION NUMBER: 0001619391-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140916 DATE AS OF CHANGE: 20140915 EFFECTIVENESS DATE: 20140916 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Preventice, Inc. CENTRAL INDEX KEY: 0001619391 IRS NUMBER: 352512989 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-224764 FILM NUMBER: 141104170 BUSINESS ADDRESS: STREET 1: 1717 N. SAM HOUSTON PARKWAY WEST CITY: HOUSTON STATE: TX ZIP: 77038 BUSINESS PHONE: 2817600500 MAIL ADDRESS: STREET 1: 1717 N. SAM HOUSTON PARKWAY WEST CITY: HOUSTON STATE: TX ZIP: 77038 D 1 primary_doc.xml X0707 D LIVE 0001619391 Preventice, Inc. 1717 N. SAM HOUSTON PARKWAY WEST HOUSTON TX TEXAS 77038 2817600500 DELAWARE None None Corporation true 2014 William Taranto Two Merck Drive, WSW-2W116 Whitehouse Station NJ NEW JERSEY 08889-0200 Director Joseph Volpe Two Merck Drive, WSW-2W114 Whitehouse Station NJ NEW JERSEY 08889-0200 Director Larry Lawson 1717 N. Sam Houston Parkway West Houston TX TEXAS 77038 Executive Officer Director Jonathan P. Otterstatter 10 South 5th Street, Suite 888 Minneapolis MN MINNESOTA 55402 Executive Officer Director John Untereker 1717 N. Sam Houston Parkway West Houston TX TEXAS 77038 Executive Officer Other Health Care Decline to Disclose 06b false 2014-09-09 false true true Issuer acquired equity interests from 34 equity holders of two separate entities in exchange for Issuer common stock (the "Exchange"). In connection with the Exchange, Issuer preferred stock was issued to one accredited investor for cash. 0 230336200 230336200 0 $108,000,000.00 was for the issuance of preferred stock of the Issuer to one accredited investor for cash and $122,336,200.00 was for the issuance of common stock by the Issuer in the Exchange. true 21 34 0 0 6173433 Consists solely of cash payments made by Issuer to purchase equity interests owned by certain equity holders of the acquired companies who became executive officers and directors of Issuer in connection with the exchange transaction. false Preventice, Inc. John Untereker John Untereker COO, CFO & EVP 2014-09-15