0001813408-20-000001.txt : 20200529 0001813408-20-000001.hdr.sgml : 20200529 20200529132522 ACCESSION NUMBER: 0001813408-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200529 DATE AS OF CHANGE: 20200529 EFFECTIVENESS DATE: 20200529 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Providence Data Technologies, LLC CENTRAL INDEX KEY: 0001813408 IRS NUMBER: 842210538 STATE OF INCORPORATION: IA FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-367925 FILM NUMBER: 20926076 BUSINESS ADDRESS: STREET 1: 4080 130TH AVENUE CITY: ROYAL STATE: IA ZIP: 51357 BUSINESS PHONE: 5152031325 MAIL ADDRESS: STREET 1: 4080 130TH AVENUE CITY: ROYAL STATE: IA ZIP: 51357 D 1 primary_doc.xml X0708 D LIVE 0001813408 Providence Data Technologies, LLC 2710 S. Loop Drive Suite 2017 Ames IA IOWA 50010 5152031325 IOWA None None Limited Liability Company true 2019 Bradly J Brugman 2710 S. Loop Drive Suite 2017 Ames IA IOWA 50010 Executive Officer Thomas Hornbeck 2710 S. Loop Drive Suite 2017 Ames IA IOWA 50010 Executive Officer Other Technology Decline to Disclose 06b false 2020-05-15 false true false 12500 500000 387500 112500 false 5 0 0 0 false Providence Data Technologies, LLC Bradly J. Brugman Bradly J. Brugman President 2020-05-29