0001567619-20-007993.txt : 20200415 0001567619-20-007993.hdr.sgml : 20200415 20200415162517 ACCESSION NUMBER: 0001567619-20-007993 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200415 DATE AS OF CHANGE: 20200415 EFFECTIVENESS DATE: 20200415 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Astiva Health, Inc. CENTRAL INDEX KEY: 0001806787 IRS NUMBER: 843208445 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-365073 FILM NUMBER: 20793938 BUSINESS ADDRESS: STREET 1: 3200 BRISTOL STREET, SUITE 600 CITY: COSTA MESA STATE: CA ZIP: 92626 BUSINESS PHONE: 949-393-8838 MAIL ADDRESS: STREET 1: 3200 BRISTOL STREET, SUITE 600 CITY: COSTA MESA STATE: CA ZIP: 92626 D 1 primary_doc.xml X0708 D LIVE 0001806787 Astiva Health, Inc. 3200 Bristol Street, Suite 600 COSTA MESA CA CALIFORNIA 92626 949-393-8838 CALIFORNIA None None Corporation true 2019 Tri T. Nguyen, M.D 3200 Bristol Street, Suite 600 Costa Mesa CA CALIFORNIA 92626 Director Chi Luong 3200 Bristol Street, Suite 600 Costa Mesa CA CALIFORNIA 92626 Executive Officer Director Chief Financial Officer and Secretary Frank Vo 3200 Bristol Street, Suite 600 Costa Mesa CA CALIFORNIA 92626 Executive Officer Director President and Chief Executive Officer Health Insurance Decline to Disclose 06b false 2019-12-08 false true false 0 30000000 15802005 14197995 Class B (Non Voting) Common Shares false 9 0 0 0 false Astiva Health, Inc. /s/ Frank Vo Frank Vo President and CEO 2020-04-14