0001744101-19-000001.txt : 20190128 0001744101-19-000001.hdr.sgml : 20190128 20190128122220 ACCESSION NUMBER: 0001744101-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190128 DATE AS OF CHANGE: 20190128 EFFECTIVENESS DATE: 20190128 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: 021-331483 FILM NUMBER: 19544467 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 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 7705195503 GEORGIA None None Limited Liability Company true 2018 George B Pratt 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Executive Officer Director James B Young 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Director James R Campbell 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Director Scott B Ketover 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Director Other Health Care Decline to Disclose 06b false 2019-01-17 false true false 0 2200000 795000 1405000 false 6 0 0 200000 true false Modify Health LLC George B. Pratt George B. Pratt by James B. Young attorney-in-fact CEO 2019-01-28