0001743493-19-000002.txt : 20190521 0001743493-19-000002.hdr.sgml : 20190521 20190521132612 ACCESSION NUMBER: 0001743493-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190521 DATE AS OF CHANGE: 20190521 EFFECTIVENESS DATE: 20190521 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: 021-340046 FILM NUMBER: 19841756 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. 337 GARDEN OAKS BLVD #41961 HOUSTON TX TEXAS 77018 8779109274 DELAWARE None None Corporation true 2018 Karim Hijazi 337 Garden Oaks Blvd #41961 Houston TX TEXAS 77018 Executive Officer Director Yonald Chery 337 Garden Oaks Blvd #41961 Houston TX TEXAS 77018 Executive Officer Mike Janke 8110 Maple Lawn Boulevard Ste. 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 2019-05-16 false true false 0 9999995 1499999 8499996 false 2 0 0 0 true false Prevailion, Inc. Karim Hijazi Karim Hijazi Chief Executive Officer 2019-05-17