0001744101-22-000001.txt : 20220825 0001744101-22-000001.hdr.sgml : 20220825 20220825125159 ACCESSION NUMBER: 0001744101-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220825 DATE AS OF CHANGE: 20220825 EFFECTIVENESS DATE: 20220825 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-457010 FILM NUMBER: 221195768 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 1 primary_doc.xml X0708 D LIVE 0001744101 Modify Health LLC 190 BLUEGRASS VALLEY PARKWAY ALPHARETTA GA GEORGIA 30005 (888) 766-3439 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 Ben Leedle 190 Bluegrass Valley Parkway Alpharetta GA GEORGIA 30005 Director Other Health Care Decline to Disclose 06b false 2022-08-11 false true true true false 0 800000 700000 100000 false 5 0 0 0 false Modify Health LLC George B. Pratt George B. Pratt by James B. Young attorney-in-fact CEO 2022-08-25