0001743493-21-000001.txt : 20210401 0001743493-21-000001.hdr.sgml : 20210401 20210401164903 ACCESSION NUMBER: 0001743493-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210401 DATE AS OF CHANGE: 20210401 EFFECTIVENESS DATE: 20210401 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: 021-394448 FILM NUMBER: 21798772 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. 4747 Research Forest Drive Suite 180 #257 The Woodlands TX TEXAS 77381 8779109274 DELAWARE None None Corporation true 2018 Karim Hijazi 4747 Research Forest Drive Suite 180 #257 The Woodlands TX TEXAS 77381 Executive Officer Director Michael 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 2021-03-26 false true true false 4 4999998 4999994 4 false 4 0 0 0 false Prevailion, Inc. Karim Hijazi Karim Hijazi Chief Executive Officer 2021-04-01