0001671406-16-000001.txt : 20160407 0001671406-16-000001.hdr.sgml : 20160407 20160407124118 ACCESSION NUMBER: 0001671406-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160407 DATE AS OF CHANGE: 20160407 EFFECTIVENESS DATE: 20160407 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prevencio, Inc. CENTRAL INDEX KEY: 0001671406 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-260826 FILM NUMBER: 161559416 BUSINESS ADDRESS: STREET 1: 11335 NE 122ND WAY STREET 2: SUITE 105 CITY: KIRKLAND STATE: WA ZIP: 98034 BUSINESS PHONE: 858-204-4116 MAIL ADDRESS: STREET 1: 11335 NE 122ND WAY STREET 2: SUITE 105 CITY: KIRKLAND STATE: WA ZIP: 98034 D 1 primary_doc.xml X0707 D LIVE 0001671406 Prevencio, Inc. 11335 NE 122ND WAY SUITE 105 KIRKLAND WA WASHINGTON 98034 858-204-4116 DELAWARE None None Corporation true 2013 Rhonda Rhyne 11335 NE 122nd Way Suite 105 Kirkland WA WASHINGTON 98034 Executive Officer Director Perry Fell c/o Prevencio, Inc. 11335 NE 122nd Way, Suite 105 Kirkland WA WASHINGTON 98034 Director Gary Frank c/o Prevencio, Inc. 11335 NE 122nd Way, Suite 105 Kirkland WA WASHINGTON 98034 Executive Officer Director John Cramer c/o Prevencio, Inc. 11335 NE 122nd Way, Suite 105 Kirkland WA WASHINGTON 98034 Director Michele McCarthy c/o Prevencio, Inc. 11335 NE 122nd Way, Suite 105 Kirkland WA WASHINGTON 98034 Director Other Decline to Disclose 06b false 2016-03-24 false true true true true Convertible Promissory Notes false 0 2000000 675000 1325000 false 9 0 0 0 false Prevencio, Inc. /s/ Rhonda Rhyne Rhonda Rhyne Chief Executive Officer 2016-04-07