0001744101-18-000001.txt : 20180621
0001744101-18-000001.hdr.sgml : 20180621
20180621171741
ACCESSION NUMBER: 0001744101-18-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20180621
DATE AS OF CHANGE: 20180621
EFFECTIVENESS DATE: 20180621
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Modify Health LLC
CENTRAL INDEX KEY: 0001744101
IRS NUMBER: 824839509
STATE OF INCORPORATION: GA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-315146
FILM NUMBER: 18912498
BUSINESS ADDRESS:
STREET 1: 165 FORESTVIEW DRIVE
CITY: SUWANEE
STATE: GA
ZIP: 30024
BUSINESS PHONE: 2673712861
MAIL ADDRESS:
STREET 1: 165 FORESTVIEW DRIVE
CITY: SUWANEE
STATE: GA
ZIP: 30024
D
1
primary_doc.xml
X0708
D
LIVE
0001744101
Modify Health LLC
165 FORESTVIEW DRIVE
SUWANEE
GA
GEORGIA
30024
2673712861
GEORGIA
None
None
Limited Liability Company
true
2018
George
B
Pratt
165 Forestview Drive
Suwanee
GA
GEORGIA
30024
Executive Officer
Director
Other Health Care
Decline to Disclose
- 06b
false
2018-06-12
false
true
true
false
25000
250000
125000
125000
false
3
0
0
0
true
false
Modify Health LLC
George B Pratt
George B. Pratt by James B. Young attorney-in-fact
CEO
2018-06-21