-----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, NQqJHvoKnounOBXd/yjdsL2ssEwX85gPo1hd9gUAw0H6gZ5LXgh9plTThyX50D47 +6O/3ojbl++k54TeiBPkpA== 0001466952-10-000001.txt : 20100609 0001466952-10-000001.hdr.sgml : 20100609 20100609144459 ACCESSION NUMBER: 0001466952-10-000001 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: 20100609 DATE AS OF CHANGE: 20100609 EFFECTIVENESS DATE: 20100609 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: 021-143205 FILM NUMBER: 10886995 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 X0704 D LIVE 0001466952 International Plan Solutions, LLC C/O BLUE CROSS & BLUE SHIELD OF NEBRASKA 2401 S. 73RD ST. OMAHA NE NEBRASKA 68124 402-548-4666 DELAWARE Blue International Solutions, LLC Limited Liability Company true 2009 LEWIS E. TROWBRIDGE BLUE CROSS AND BLUE SHIELD OF NEBRASKA 2401 S. 73RD STREET OMAHA NE NEBRASKA 68124 Executive Officer Director Manager, Chairman, President and Secretary of International Plan Solutions, LLC CHRISTOPHER BUTLER INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA PENNSYLVANIA 19103 Director Manager MICHAEL MIZEUR BLUE CROSS AND BLUE SHIELD OF SC MAIL CODE AA-270, I-20 @ ALPINE ROAD COLUMBIA SC SOUTH CAROLINA 29219-0001 Executive Officer Director Manager and Treasurer JAMES MESSINA PREMERA BLUE CROSS 7001 220TH STREET SW MOUNTAIN LAKE TERRACE WA WASHINGTON 98043 Director Manager SCOTT BEACHAM BSC FINANCIAL CORPORATION 2 MID AMERICA PLAZA, SUITE 200 OAKBROOK TERRACE IL ILLINOIS 60181 Director Manager BRETT E. PAINCHAUD BLUE CROSS AND BLUE SHIELD OF MA LANDMARK CENTER, 401 PARK DRIVE BOSTON MA MASSACHUSETTS 02215 Director Manager BARBARA BENEVENTO BLUE CROSS AND BLUE SHIELD OF FLORIDA 4800 DEERWOOD CAMPUS PKWY, BLDG 100, 8 F JACKSONVILLE FL FLORIDA 32246-8273 Director Manager BRIAN O'MALLEY BLUE CROSS AND BLUE SHIELD OF R.I. 444 WESTMINSTER STREET PROVIDENCE RI RHODE ISLAND 02903 Director Manager DOUGLAS GARRETT BLUE CROSS AND BLUE SHIELD OF MS 3545 LAKELAND DRIVE FLOWOOD MS MISSISSIPPI 39232-9799 Director Manager GARY ST. HILAIRE CAPITAL BLUE CROSS 2500 ELMERTON AVENUE HARRISBURG PA PENNSYLVANIA 17177-9799 Director Manager DAVID GENTILE BLUE CROSS AND BLUE SHIELD OF KC 2301 MAIN STREET KANSAS CITY MO MISSOURI 64108 Director Manager BRUCE E. SICKEL BLUE CROSS OF NORTHEASTERN PENNSYLVANIA 70 NORTH MAIN STREET WILKES-BARRE PA PENNSYLVANIA 18711-0302 Director Manager PEGGY SCOTT LOUISIANA HEALTH SERVICES & INDEMNITY CO 5525 REITZ AVENUE BATON ROUGE LA LOUISIANA 70809 Director Manager Pooled Investment Fund Other Investment Fund false Decline to Disclose 06 3C 3C.1 false 2010-05-26 false true true true To raise funds for issuer to purchase and hold Series A Preferred Stock of Highway to Health, Inc., a Delaware corporation. 15000 2484000 2484000 0 false 11 0 0 0 false International Plan Solutions, LLC /s/ LEWIS E. TROWBRIDGE LEWIS E. TROWBRIDGE MANAGER, CHAIRMAN, PRESIDENT AND SECRETARY 2010-05-31 -----END PRIVACY-ENHANCED MESSAGE-----