0001744101-19-000003.txt : 20190215 0001744101-19-000003.hdr.sgml : 20190215 20190215115837 ACCESSION NUMBER: 0001744101-19-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190215 DATE AS OF CHANGE: 20190215 EFFECTIVENESS DATE: 20190215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Modify Health LLC CENTRAL INDEX KEY: 0001744101 IRS NUMBER: 824839509 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-331483 FILM NUMBER: 19610444 BUSINESS ADDRESS: STREET 1: 190 BLUEGRASS VALLEY PARKWAY CITY: ALPHARETTA STATE: GA ZIP: 30005 BUSINESS PHONE: 7705195503 MAIL ADDRESS: STREET 1: 190 BLUEGRASS VALLEY PARKWAY CITY: ALPHARETTA STATE: GA ZIP: 30005 D/A 1 primary_doc.xml X0708 D/A LIVE 0001744101 Modify Health LLC 190 BLUEGRASS VALLEY PARKWAY ALPHARETTA GA GEORGIA 30005 7705195503 DELAWARE 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 true 0001744101-19-000001 2019-01-17 false true false 0 2000000 2000000 0 false 22 0 0 200000 true false Modify Health LLC George B. Pratt George B. Pratt by James B. Young attorney-in-fact CEO 2019-02-15