0001752054-19-000001.txt : 20190717 0001752054-19-000001.hdr.sgml : 20190717 20190716183730 ACCESSION NUMBER: 0001752054-19-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190717 DATE AS OF CHANGE: 20190716 EFFECTIVENESS DATE: 20190717 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-327617 FILM NUMBER: 19957953 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/A 1 primary_doc.xml X0708 D/A 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 true 0001752054-18-000001 2018-08-31 false true true false 0 9000000 7667480 1332520 false 115 0 0 0 false Revive Solutions, Inc. /s/ Sameer Jafri Sameer Jafri President 2019-07-16