0001727268-18-000001.txt : 20180112 0001727268-18-000001.hdr.sgml : 20180112 20180112102831 ACCESSION NUMBER: 0001727268-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180112 DATE AS OF CHANGE: 20180112 EFFECTIVENESS DATE: 20180112 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prevail Holdings, Inc CENTRAL INDEX KEY: 0001727268 IRS NUMBER: 463153668 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-303096 FILM NUMBER: 18524993 BUSINESS ADDRESS: STREET 1: 935 CAMELLIA BLVD STREET 2: SUITE 103 CITY: LAFAYETTE STATE: LA ZIP: 70508 BUSINESS PHONE: 3372806640 MAIL ADDRESS: STREET 1: 935 CAMELLIA BLVD STREET 2: SUITE 103 CITY: LAFAYETTE STATE: LA ZIP: 70508 D 1 primary_doc.xml X0708 D LIVE 0001727268 Prevail Holdings, Inc 935 CAMELLIA BLVD SUITE 103 LAFAYETTE LA LOUISIANA 70508 3372806640 DELAWARE None None Corporation true 2014 courville andrew kevin 109 Woodbridge Drive Lafayette LA LOUISIANA 70508 Executive Officer Other Health Care $1 - $1,000,000 06b false 2017-12-29 false true false 500000 500000 500000 0 false 1 0 0 0 false Prevail Holdings, Inc kevin a courville Kevin A Courville CEO 2018-01-12