0001744101-21-000001.txt : 20210331 0001744101-21-000001.hdr.sgml : 20210331 20210331172802 ACCESSION NUMBER: 0001744101-21-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210331 DATE AS OF CHANGE: 20210331 EFFECTIVENESS DATE: 20210331 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: 021-372935 FILM NUMBER: 21794789 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 Scott Ketover 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Director James B Young 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Director H Grey Wood 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Director Chase Perry 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Director Other Health Care Decline to Disclose 06b true 0001744101-20-000007 2020-08-05 false true false 0 2493000 2278000 215000 false 16 0 0 0 false Modify Health LLC George B. Pratt George B. Pratt by James B. Young attorney-in-fact CEO 2021-03-31