0001652793-17-000004.txt : 20170508 0001652793-17-000004.hdr.sgml : 20170508 20170505214838 ACCESSION NUMBER: 0001652793-17-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170508 DATE AS OF CHANGE: 20170505 EFFECTIVENESS DATE: 20170508 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Proactive Living, LLC CENTRAL INDEX KEY: 0001652793 IRS NUMBER: 473024645 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-262131 FILM NUMBER: 17820090 BUSINESS ADDRESS: STREET 1: 212 EAST 5TH STREET CITY: GREENVILLE STATE: NC ZIP: 27858 BUSINESS PHONE: 2142188204 MAIL ADDRESS: STREET 1: 307 IVY CIRCLE CITY: GREENVILLE STATE: NC ZIP: 27834 FORMER COMPANY: FORMER CONFORMED NAME: Proactive Living DATE OF NAME CHANGE: 20150909 D/A 1 primary_doc.xml X0707 D/A LIVE 0001652793 Proactive Living, LLC 212 EAST 5TH STREET GREENVILLE NC NORTH CAROLINA 27858 2142188204 DELAWARE Proactive Living Limited Liability Company true 2015 Sami Beg 307 Ivy Circle Greenville NC NORTH CAROLINA 27834 Executive Officer Sumyra Kachru 212 East 5th Street Greenville NC NORTH CAROLINA 27834 Director Christopher Walsh 212 East 5th Street Greenville NC NORTH CAROLINA 27834 Director Rashid Haq 212 East 5th Street Greenville NC NORTH CAROLINA 27834 Director Dharmesh Patel 212 East 5th Street Greenville NC NORTH CAROLINA 27834 Director Other Technology No Revenues 06b true 0001652793-16-000001 2015-06-20 false true false 5000 120000 120000 0 false 4 0 0 0 false Proactive Living, LLC Sami Beg, MD Sami Beg, MD Manager 2017-05-05