0001628123-14-000001.txt : 20141215 0001628123-14-000001.hdr.sgml : 20141215 20141215153514 ACCESSION NUMBER: 0001628123-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141215 DATE AS OF CHANGE: 20141215 EFFECTIVENESS DATE: 20141215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provia Laboratories, LLC CENTRAL INDEX KEY: 0001628123 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-230132 FILM NUMBER: 141286288 BUSINESS ADDRESS: STREET 1: 11A BEAVER BROOK ROAD CITY: LITTLETON STATE: MA ZIP: 01460 BUSINESS PHONE: 877-867-5753 MAIL ADDRESS: STREET 1: 11A BEAVER BROOK ROAD CITY: LITTLETON STATE: MA ZIP: 01460 D 1 primary_doc.xml X0707 D LIVE 0001628123 Provia Laboratories, LLC 11A BEAVER BROOK ROAD LITTLETON MA MASSACHUSETTS 01460 877-867-5753 DELAWARE None None Limited Liability Company true Howard Greenman c/o Provia Laboratories, LLC 11A BEAVER BROOK ROAD Littleton MA MASSACHUSETTS 01460 Executive Officer Director James A. Manganello c/o Provia Laboratories, LLC 11A BEAVER BROOK ROAD Littleton MA MASSACHUSETTS 01460 Director James Sigler c/o Provia Laboratories, LLC 11A BEAVER BROOK ROAD Littleton MA MASSACHUSETTS 01460 Director Biotechnology Decline to Disclose 06b false 2014-11-28 false true true false 0 Silver Leaf Partners, LLC 126694 None None 420 Lexington Avenue, Suite 2805 New York NY NEW YORK 10019 NY NEW YORK false 2000000 325000 1675000 false 4 32500 true 0 0 false Provia Laboratories, LLC /s/ Howard Greenman Howard Greenman Chief Executive Officer 2014-12-15