0001688134-16-000001.txt : 20161027 0001688134-16-000001.hdr.sgml : 20161027 20161026191101 ACCESSION NUMBER: 0001688134-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161027 DATE AS OF CHANGE: 20161026 EFFECTIVENESS DATE: 20161027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Geneva Healthcare, Inc. CENTRAL INDEX KEY: 0001688134 IRS NUMBER: 463726824 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-273288 FILM NUMBER: 161953611 BUSINESS ADDRESS: STREET 1: 87 N. RAYMOND AVENUE, SUITE 521 CITY: PASADENA STATE: CA ZIP: 91103 BUSINESS PHONE: 6193761899 MAIL ADDRESS: STREET 1: 87 N. RAYMOND AVENUE, SUITE 521 CITY: PASADENA STATE: CA ZIP: 91103 D 1 primary_doc.xml X0707 D LIVE 0001688134 Geneva Healthcare, Inc. 87 N. RAYMOND AVENUE, SUITE 521 PASADENA CA CALIFORNIA 91103 6193761899 DELAWARE None None Corporation true 2013 Kai Worrell c/o Geneva Healthcare, Inc. 87 N. Raymond Avenue, Suite 521 Pasadena CA CALIFORNIA 91103 Director Manish Wadhwa c/o Geneva Healthcare, Inc. 87 N. Raymond Avenue, Suite 521 Pasadena CA CALIFORNIA 91103 Director Yuri Sudhakar c/o Geneva Healthcare, Inc. 87 N. Raymond Avenue, Suite 521 Pasadena CA CALIFORNIA 91103 Executive Officer Director Earl Bray c/o Geneva Healthcare, Inc. 87 N. Raymond Avenue, Suite 521 Pasadena CA CALIFORNIA 91103 Executive Officer Donald Cohn c/o Geneva Healthcare, Inc. 87 N. Raymond Avenue, Suite 521 Pasadena CA CALIFORNIA 91103 Director Other Health Care Decline to Disclose 06b false 2016-10-12 false true false 0 6248995 6193845 55150 Total Amount Sold includes amounts paid pursuant to conversion of indebtedness. false 51 0 0 0 false Geneva Healthcare, Inc. /s/ Yuri Sudhakar Yuri Sudhakar President and CEO 2016-10-25