0001707489-18-000002.txt : 20180606 0001707489-18-000002.hdr.sgml : 20180606 20180606123013 ACCESSION NUMBER: 0001707489-18-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180606 DATE AS OF CHANGE: 20180606 EFFECTIVENESS DATE: 20180606 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-287423 FILM NUMBER: 18883325 BUSINESS ADDRESS: STREET 1: 130 CHESHIRE LANE N STREET 2: SUITE 150 CITY: MINNETONKA STATE: MN ZIP: 55305 BUSINESS PHONE: 763-208-4516 MAIL ADDRESS: STREET 1: 130 CHESHIRE LANE N STREET 2: SUITE 150 CITY: MINNETONKA STATE: MN ZIP: 55305 D/A 1 primary_doc.xml X0708 D/A LIVE 0001707489 Atavium, Inc. 130 Cheshire Lane N Suite 150 Minnetonka MN MINNESOTA 55305 763-208-4516 DELAWARE None None Corporation true 2015 Edward J. Fiore 130 Cheshire Lane N Suite 150 Minnetonka MN MINNESOTA 55305 Executive Officer Director Mark A. Bakke 130 Cheshire Lane N Suite 150 Minnetonka MN MINNESOTA 55305 Executive Officer Director Michael Klemm 130 Cheshire Lane N Suite 150 Minnetonka MN MINNESOTA 55305 Executive Officer Marc Olin 130 Cheshire Lane N Suite 150 Minnetonka MN MINNESOTA 55305 Executive Officer Brian Bell 848 Prairie Meadows Drive Hudson WI WISCONSIN 54016 Director Jeffrey Hinck c/o Rally Ventures Fund II, L.P. 850 Oak Grove Avenue Menlo Park CA CALIFORNIA 94025 Director Lawson DeVries c/o Grotech Ventures III, L.P. 8000 Towers Crescent Drive, Suite 850 Vienna VA VIRGINIA 22182 Director Other Technology Decline to Disclose 06b true 0001707489-17-000002 2017-05-12 false true false 0 8665000 8665000 0 false 9 0 0 0 false Atavium, Inc. /s/ Edward J. Fiore Edward J. Fiore CEO 2018-06-04