0001752054-18-000001.txt : 20181211 0001752054-18-000001.hdr.sgml : 20181211 20181211151233 ACCESSION NUMBER: 0001752054-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181211 DATE AS OF CHANGE: 20181211 EFFECTIVENESS DATE: 20181211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Revive Solutions, Inc. CENTRAL INDEX KEY: 0001752054 IRS NUMBER: 821022669 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-327617 FILM NUMBER: 181228627 BUSINESS ADDRESS: STREET 1: 540 EDINBURGH STREET CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: (858) 822-9363 MAIL ADDRESS: STREET 1: 540 EDINBURGH STREET CITY: SAN MATEO STATE: CA ZIP: 94402 D 1 primary_doc.xml X0708 D LIVE 0001752054 Revive Solutions, Inc. 540 EDINBURGH STREET SAN MATEO CA CALIFORNIA 94402 (858) 822-9363 DELAWARE None None Corporation true 2017 Sameer Jafri 540 Edinburgh St San Mateo CA CALIFORNIA 94402 Executive Officer Director Rory Beyer 540 Edinburgh St San Mateo CA CALIFORNIA 94402 Executive Officer Director Michael K. Perry 540 Edinburgh St San Mateo CA CALIFORNIA 94402 Director Amir Jafri 540 Edinburgh St San Mateo CA CALIFORNIA 94402 Director Jeff Trost 540 Edinburgh St San Mateo CA CALIFORNIA 94402 Director Other Decline to Disclose 06b false 2018-08-31 false true true false 0 7000000 6000480 999520 false 97 0 0 0 false Revive Solutions, Inc. /s/ Sameer Jafri Sameer Jafri President 2018-12-11