0001567619-22-016883.txt : 20220901 0001567619-22-016883.hdr.sgml : 20220901 20220901084246 ACCESSION NUMBER: 0001567619-22-016883 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220901 DATE AS OF CHANGE: 20220901 EFFECTIVENESS DATE: 20220901 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prevailion, Inc. CENTRAL INDEX KEY: 0001743493 IRS NUMBER: 830547707 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-457658 FILM NUMBER: 221219709 BUSINESS ADDRESS: STREET 1: 337 GARDEN OAKS BLVD STREET 2: #41961 CITY: HOUSTON STATE: TX ZIP: 77018 BUSINESS PHONE: 8779109274 MAIL ADDRESS: STREET 1: 337 GARDEN OAKS BLVD STREET 2: #41961 CITY: HOUSTON STATE: TX ZIP: 77018 D 1 primary_doc.xml X0708 D LIVE 0001743493 Prevailion, Inc. 9950 Woodlock Forest Drive Suite 1325 The Woodlands TX TEXAS 77380 8779109274 DELAWARE None None Corporation true 2018 Karim Hijazi 9950 Woodlock Forest Drive Suite 1325 The Woodlands TX TEXAS 77380 Executive Officer Director Michael 8110 Maple Lawn Blvd Janke 8110 Maple Lawn Blvd Suite 200 Fulton MD MARYLAND 20759 Director Robert Ackerman Two Harrison Street Suite 180 San Francisco CA CALIFORNIA 94105 Director Other Decline to Disclose 06b false 2022-08-26 false true true false 117456 1802507 1802507 0 false 6 0 0 0 false Prevailion, Inc. /s/ Karim Hijazi Karim Hijazi Chief Executive Officer 2022-09-01