0001707489-17-000002.txt : 20170525 0001707489-17-000002.hdr.sgml : 20170525 20170524181849 ACCESSION NUMBER: 0001707489-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170525 DATE AS OF CHANGE: 20170524 EFFECTIVENESS DATE: 20170525 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Atavium, Inc. CENTRAL INDEX KEY: 0001707489 IRS NUMBER: 810904150 STATE OF INCORPORATION: DE FISCAL YEAR END: 0731 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-287423 FILM NUMBER: 17867760 BUSINESS ADDRESS: STREET 1: 2 CARLSON PARKWAY STREET 2: SUITE 230 CITY: PLYMOUTH STATE: MN ZIP: 55447 BUSINESS PHONE: 763-443-8513 MAIL ADDRESS: STREET 1: 2 CARLSON PARKWAY STREET 2: SUITE 230 CITY: PLYMOUTH STATE: MN ZIP: 55447 D 1 primary_doc.xml X0707 D LIVE 0001707489 Atavium, Inc. 2 CARLSON PARKWAY SUITE 230 PLYMOUTH MN MINNESOTA 55447 763-443-8513 DELAWARE None None Corporation true 2015 Edward J. Fiore 2 Carlson Parkway, Suite 230 Plymouth MN MINNESOTA 55447 Executive Officer Director Mark A. Bakke 2 Carlson Parkway, Suite 230 Plymouth MN MINNESOTA 55447 Executive Officer Director Michael Klemm 2 Carlson Parkway, Suite 230 Plymouth MN MINNESOTA 55447 Executive Officer Marc Olin 2 Carlson Parkway, Suite 230 Plymouth MN MINNESOTA 55447 Executive Officer Other Technology Decline to Disclose 06b false 2017-05-12 false true false 0 8600000 4300000 4300000 false 9 0 0 0 false Atavium, Inc. /s/ Edward J. Fiore Edward J. Fiore CEO 2017-05-24