0001762306-21-000001.txt : 20210910 0001762306-21-000001.hdr.sgml : 20210910 20210910161509 ACCESSION NUMBER: 0001762306-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210910 DATE AS OF CHANGE: 20210910 EFFECTIVENESS DATE: 20210910 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Acclivity Health Solutions, Inc. CENTRAL INDEX KEY: 0001762306 IRS NUMBER: 821499282 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-413009 FILM NUMBER: 211247224 BUSINESS ADDRESS: STREET 1: 1301 RIVERPLACE BLVD. STREET 2: SUITE 800 CITY: JACKSONVILLE STATE: FL ZIP: 32207 BUSINESS PHONE: 9042253176 MAIL ADDRESS: STREET 1: 1301 RIVERPLACE BLVD. STREET 2: SUITE 800 CITY: JACKSONVILLE STATE: FL ZIP: 32207 D 1 primary_doc.xml X0708 D LIVE 0001762306 Acclivity Health Solutions, Inc. 1301 RIVERPLACE BLVD. SUITE 800 JACKSONVILLE FL FLORIDA 32207 9042253176 DELAWARE None None Corporation true 2017 Jeremy Powell 1301 Riverplace Blvd. Suite 800 Jacksonville FL FLORIDA 32207 Executive Officer Director Kenneth Weng 1451 Bentley Street Concord CA CALIFORNIA 92418 Executive Officer Director James Liang 555 Bishopgate Lane Unit 2401 Jacksonville FL FLORIDA 32204 Director Arif Kamal 6472 Moinear Lane Chapel Hill NC NORTH CAROLINA 27514 Director John Mulder 16310 Riverdale Ct. Spring Lake MI MICHIGAN 49456 Director Mark A Buffington 3575 Piedmont Road, Bldg 15, Ste 730 Atlanta GA GEORGIA 30305 Director Cliff A Robertson 1008 Dodge St. #205 Omaha NE NEBRASKA 68102 Director Other Technology Decline to Disclose 06b false 2021-09-01 false true false 0 2800059 2800059 0 false 13 0 0 0 false Acclivity Health Solutions, Inc. Jeremy Powell Jeremy Powell Chief Executive Officer 2021-09-10