0001758609-19-000003.txt : 20190701 0001758609-19-000003.hdr.sgml : 20190701 20190701120352 ACCESSION NUMBER: 0001758609-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190701 DATE AS OF CHANGE: 20190701 EFFECTIVENESS DATE: 20190701 FILER: COMPANY DATA: COMPANY CONFORMED NAME: REVIDA RECOVERY HOLDINGS, LLC CENTRAL INDEX KEY: 0001758609 IRS NUMBER: 831883088 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-343176 FILM NUMBER: 19932120 BUSINESS ADDRESS: STREET 1: 400 OVERBECK LANE STREET 2: SUITE 201 CITY: NASHVILLE STATE: TN ZIP: 37204 BUSINESS PHONE: 615-622-6640 MAIL ADDRESS: STREET 1: 400 OVERBECK LANE STREET 2: SUITE 201 CITY: NASHVILLE STATE: TN ZIP: 37204 FORMER COMPANY: FORMER CONFORMED NAME: VIDA RECOVERY HOLDINGS, LLC DATE OF NAME CHANGE: 20181108 D 1 primary_doc.xml X0708 D LIVE 0001758609 REVIDA RECOVERY HOLDINGS, LLC 400 OVERBECK LANE SUITE 201 NASHVILLE TN TENNESSEE 37204 615-622-6640 DELAWARE VIDA RECOVERY HOLDINGS, LLC Limited Liability Company true 2018 LEE DILWORTH 400 OVERBECK LANE SUITE 201 NASHVILLE TN TENNESSEE 37204 Executive Officer Director MARTIN RASH 400 OVERBECK LANE SUITE 201 NASHVILLE TN TENNESSEE 37204 Director DAVE COOLEY 400 OVERBECK LANE SUITE 201 NASHVILLE TN TENNESSEE 37204 Director BYRON W. SMITH 400 OVERBECK LANE SUITE 201 NASHVILLE TN TENNESSEE 37204 Director DAVID DEMPSEY 400 OVERBECK LANE SUITE 201 NASHVILLE TN TENNESSEE 37204 Executive Officer Other Health Care Decline to Disclose 06b false 2019-06-21 false true false 0 800002 800002 0 false 22 0 0 0 false REVIDA RECOVERY HOLDINGS, LLC /s/ Lee Dilworth Lee Dilworth President 2019-07-01