-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Lv92Nb7r99hFoodnTtmxz2IaCnpJdmmScRZg/qkk5w7qpeuKK+ggWLLNTmHKg3oU QN16oHhPJBk1fJsD49fcYQ== 0001439789-09-000005.txt : 20090814 0001439789-09-000005.hdr.sgml : 20090814 20090814144213 ACCESSION NUMBER: 0001439789-09-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20090814 DATE AS OF CHANGE: 20090814 EFFECTIVENESS DATE: 20090814 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COVENANT SURGICAL PARTNERS INC CENTRAL INDEX KEY: 0001439789 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-120145 FILM NUMBER: 091014836 BUSINESS ADDRESS: STREET 1: 401 COMMERCE STREET STREET 2: SUITE 740 CITY: NASHVILLE STATE: TN ZIP: 37219 BUSINESS PHONE: 615-345-6902 MAIL ADDRESS: STREET 1: 401 COMMERCE STREET STREET 2: SUITE 740 CITY: NASHVILLE STATE: TN ZIP: 37219 D 1 primary_doc.xml X0502 D LIVE 0001439789 COVENANT SURGICAL PARTNERS INC 401 COMMERCE STREET SUITE 740 NASHVILLE TN 37219 615-345-6902 None DELAWARE Corporation true 2008 Michael A. Koban 401 Commerce Street, Suite 740 Nashville TN 37219 Executive Officer Director Marnix E. Heersink 401 Commerce Street, Suite 740 Nashville TN 37219 Executive Officer Director Richard K. Jacques 401 Commerce Street, Suite 740 Nashville TN 37219 Executive Officer Director J. Frank Barefield 401 Commerce Street, Suite 740 Nashville TN 37219 Director Lucius E. Burch III 401 Commerce Street, Suite 740 Nashville TN 37219 Director John F. Jacques 401 Commerce Street, Suite 740 Nashville TN 37219 Director James E. Vann 401 Commerce Street, Suite 740 Nashville TN 37219 Director David Holst 401 Commerce Street, Suite 740 Nashville TN 37219 Executive Officer Jack F. King, Jr. 1200 One Nashville Place 150 4th Avenue North Nashville TN 37219 Executive Officer Other Health Care $1,000,001 - $5,000,000 06 false true false true true false 50000 Iroquois Capital Advisors, LLC 145235 None None 401 Commerce Street Suite 740 Nashville TN 37219 AL IN TN TX 14000000 0 14000000 false 0 840000 true 0 Iroquois Capital Advisors, LLC will receive distribution commissions in the amount of 6% of the amount sold. 0 false COVENANT SURGICAL PARTNERS INC /s/ Richard K. Jacques Richard K. Jacques President and CEO 2009-08-13 -----END PRIVACY-ENHANCED MESSAGE-----