0001785362-21-000002.txt : 20210629 0001785362-21-000002.hdr.sgml : 20210629 20210629171725 ACCESSION NUMBER: 0001785362-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210629 DATE AS OF CHANGE: 20210629 EFFECTIVENESS DATE: 20210629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Preventric Diagnostics, LLC CENTRAL INDEX KEY: 0001785362 IRS NUMBER: 832699192 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-404658 FILM NUMBER: 211059168 BUSINESS ADDRESS: STREET 1: 2120 16TH AVENUE SOUTH STREET 2: SUITE 300 CITY: BIRMINGHAM STATE: AL ZIP: 35205 BUSINESS PHONE: 205-478-1110 MAIL ADDRESS: STREET 1: 2120 16TH AVENUE SOUTH STREET 2: SUITE 300 CITY: BIRMINGHAM STATE: AL ZIP: 35205 D 1 primary_doc.xml X0708 D LIVE 0001785362 Preventric Diagnostics, LLC 790 Montclair Road SUITE 150 BIRMINGHAM AL ALABAMA 35213 205-533-3343 DELAWARE Preventric Diagnostics, Inc. None Corporation true 2018 Philip Andrew White 2028 21st Avenue South Birmingham AL ALABAMA 35209 Executive Officer Director Chairman of the Board (Executive) and Founder William Knight Holbrook 1968 Rosemont Place Birmingham AL ALABAMA 35243 Executive Officer Director Secretary, Controller and Chief Legal Officer Hayden Barry Bosworth Ph.D. 205 Morgan Hill Court Durham NC NORTH CAROLINA 27510 Director Timothy Ian Still 8319 Regency Drive Pleasonton CA CALIFORNIA 94588 Director Lisa Carol Crymes 1708 12th Street South Birmingham AL ALABAMA 35205 Executive Officer Chief Revenue Officer Other Health Care $1 - $1,000,000 06b false 2021-06-17 false true 8% Unsecured Convertible Promissory Notes false 50000 7000000 50000 6950000 false 1 0 0 N/A 830000 true Payoff of Bridge Loans false Preventric Diagnostics, LLC William K. Holbrook William K. Holbrook Chief Legal Officer 2021-06-29