0001630860-15-000001.txt : 20150115 0001630860-15-000001.hdr.sgml : 20150115 20150115140130 ACCESSION NUMBER: 0001630860-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150115 DATE AS OF CHANGE: 20150115 EFFECTIVENESS DATE: 20150115 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Azalea Health Innovations, Inc. CENTRAL INDEX KEY: 0001630860 IRS NUMBER: 260874838 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-232317 FILM NUMBER: 15529384 BUSINESS ADDRESS: STREET 1: 5871 GLENRIDGE DRIVE, NE STREET 2: SUITE 300 CITY: ATLANTA STATE: GA ZIP: 30328 BUSINESS PHONE: 877-777-7686 MAIL ADDRESS: STREET 1: 5871 GLENRIDGE DRIVE, NE STREET 2: SUITE 300 CITY: ATLANTA STATE: GA ZIP: 30328 D 1 primary_doc.xml X0707 D LIVE 0001630860 Azalea Health Innovations, Inc. 5871 GLENRIDGE DRIVE, NE SUITE 300 ATLANTA GA GEORGIA 30328 877-777-7686 GEORGIA None None Corporation true Baha Zeidan 5871 Glenridge Drive, NE Suite 300 Atlanta GA GEORGIA 30328 Executive Officer Director John Glushik c/o Intersouth Partners 102 City Hall Plaza, Suite 200 Durham NC NORTH CAROLINA 27701 Director John King 5871 Glenridge Drive, NE Suite 300 Atlanta GA GEORGIA 30328 Director Other Technology Decline to Disclose 06b false 2014-12-10 false true true false 0 1500000 1500000 0 false 1 0 0 0 false Azalea Health Innovations, Inc. /s/ Baha Zeidan Baha Zeidan Chief Executive Officer 2015-01-15