0001634122-19-000002.txt : 20191008 0001634122-19-000002.hdr.sgml : 20191008 20191008132401 ACCESSION NUMBER: 0001634122-19-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191008 DATE AS OF CHANGE: 20191008 EFFECTIVENESS DATE: 20191008 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provivi, Inc. CENTRAL INDEX KEY: 0001634122 IRS NUMBER: 454628757 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-343556 FILM NUMBER: 191142417 BUSINESS ADDRESS: STREET 1: 1701 COLORADO AVENUE CITY: SANTA MONICA STATE: CA ZIP: 90404 BUSINESS PHONE: 626-390-0484 MAIL ADDRESS: STREET 1: 1701 COLORADO AVENUE CITY: SANTA MONICA STATE: CA ZIP: 90404 D/A 1 primary_doc.xml X0708 D/A LIVE 0001634122 Provivi, Inc. 1701 COLORADO AVENUE SANTA MONICA CA CALIFORNIA 90404 626-390-0484 DELAWARE None None Corporation true Pedro Coelho 1701 Colorado Avenue Santa Monica CA CALIFORNIA 90404 Executive Officer Director James Demetriades 1499 Blueridge Drive Beverly Hills CA CALIFORNIA 90210 Director Ganesh Kishore 100 Montgomery Street Suite 2190 San Francisco CA CALIFORNIA 94104 Director Peter Meinhold 1701 Colorado Avenue Santa Monica CA CALIFORNIA 90404 Executive Officer Frances Arnold 228 Spalding, MailCode: 210-41 California Institute of Technology Pasadena CA CALIFORNIA 91125-4100 Director Paul Kuc 1701 Colorado Avenue Santa Monica CA CALIFORNIA 90404 Executive Officer Ronald Olson 350 South Grand Avenue 50th Floor Los Angeles CA CALIFORNIA 90071 Director Other Technology Decline to Disclose 06b true 0001634122-19-000001 2019-06-20 false true false 0 85000000 84999961 39 false 21 0 0 0 false Provivi, Inc. /s/Pedro Coelho Pedro Coelho Chief Executive Officer 2019-10-08