0001047570-12-000002.txt : 20120625 0001047570-12-000002.hdr.sgml : 20120625 20120625172623 ACCESSION NUMBER: 0001047570-12-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20120625 DATE AS OF CHANGE: 20120625 EFFECTIVENESS DATE: 20120625 FILER: COMPANY DATA: COMPANY CONFORMED NAME: International Plan Solutions, LLC CENTRAL INDEX KEY: 0001466952 IRS NUMBER: 270204996 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-180277 FILM NUMBER: 12925375 BUSINESS ADDRESS: STREET 1: C/O BLUE CROSS & BLUE SHIELD OF NEBRASKA STREET 2: 2401 S. 73RD ST. CITY: OMAHA STATE: NE ZIP: 68124 BUSINESS PHONE: 402-548-4666 MAIL ADDRESS: STREET 1: C/O BLUE CROSS & BLUE SHIELD OF NEBRASKA STREET 2: 2401 S. 73RD ST. CITY: OMAHA STATE: NE ZIP: 68124 FORMER COMPANY: FORMER CONFORMED NAME: Blue International Solutions, LLC DATE OF NAME CHANGE: 20090623 D 1 primary_doc.xml X0705 D LIVE 0001466952 International Plan Solutions, LLC C/O BLUE CROSS & BLUE SHIELD OF NEBRASKA 1919 AKSARBEN DRIVE OMAHA NE NEBRASKA 68180 402-982-7666 DELAWARE Blue International Solutions, LLC Limited Liability Company true 2009 LEWIS TROWBRIDGE BLUE CROSS BLUE SHIELD OF NEBRASKA 1919 AKSARBEN DRIVE OMAHA NE NEBRASKA 68180 Executive Officer Director Manager, Chairman, President and Secretary JAMES MESSINA PREMERA BLUE CROSS 7001 220TH STREET SW MOUNTAIN LAKE TERRACE WA WASHINGTON 98043 Executive Officer Director Manager, Treasurer SCOTT BEACHAM BSC FINANCIAL CORPORATION 2 MID AMERICA PLAZA, SUITE 200 OAKBROOK TERRACE IL ILLINOIS 60181 Director Manager BRETT PAINCHAUD BLUE CROSS BLUE SHIELD OF MA LANDMARK CENTER, 401 PARK DRIVE BOSTON MA MASSACHUSETTS 02215 Director Manager BRIAN O'MALLEY BLUE CROSS BLUE SHIELD OF R.I. 444 WESTMINSTER ST. PROVIDENCE RI RHODE ISLAND 02903 Director Manager DOUGLAS GARRETT BLUE CROSS BLUE SHIELD OF MS 3545 LAKELAND DRIVE FLOWOOD MS MISSISSIPPI 38232 Director Manager BRUCE SICKEL BLUE CROSS OF NORTHEASTERN PENNSYLVANIA 72 NORTH MAIN STREET WILKES-BARRE PA PENNSYLVANIA 18711 Director Manager PEGGY SCOTT LOUISIANA HEALTH SERVICES AND INDEMNITY 5525 REITZ AVENUE BATON ROUGE LA LOUISIANA 72809 Director Manager MICHAEL CLEARY CAPITAL BLUE CROSS 2500 ELMERTON AVENUE HARRISBURG PA PENNSYLVANIA 17177 Director Manager BRYAN CAMERLINCK BLUE CROSS AND BLUE SHIELD OF KC 2301 MAIN STREET KANSAS CITY MO MISSOURI 64108 Director Manager JAMES DEYLING BLUE CROSS AND BLUE SHIELD OF SC MAIL CODE AA-2701-20 @ ALPINE ROAD COLUMBIA SC SOUTH CAROLINA 28219 Director Manager RICK NEESOM INDEPENDENCE BLUE CROSS 1801 MARKET STREET PHILADELPHIA PA PENNSYLVANIA 19103 Director Manager DEANNA MCDONALD BLUE CROSS AND BLUE SHIELD OF FLORIDA 4800 DEERWOOD CAMPUS PKWY, BLDG 100, 8F JACKSONVILLE FL FLORIDA 38246 Director Manager KAREN ABRAHAM BLUE CROSS AND BLUE SHIELD OF ARIZONA P.O. BOX 13466 PHOENIX AZ ARIZONA 85002 Director Manager Pooled Investment Fund Other Investment Fund false Decline to Disclose 06 3C 3C.1 false 2012-06-12 false true true true To raise funds for issuer to purchase Series B Preferred Stock of Highway to Health, Inc. 0 11400000 11400000 0 false 7 0 0 0 false International Plan Solutions, LLC /s/ LEWIS TROWBRIDGE LEWIS TROWBRIDGE CHAIRMAN 2012-06-25