-----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, HIX6gCMv349cxmxQA28dqi2wZZ3Q6/USMhHW48jqGJZfkOkRjdHtKlJ8CsJwSSrQ brKUMoqZ/3GfXMMoVk0IvQ== 0001471544-09-000005.txt : 20091014 0001471544-09-000005.hdr.sgml : 20091014 20091014150240 ACCESSION NUMBER: 0001471544-09-000005 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20091014 DATE AS OF CHANGE: 20091014 EFFECTIVENESS DATE: 20091014 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ushealthrecord, inc. CENTRAL INDEX KEY: 0001471544 IRS NUMBER: 621811639 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-134152 FILM NUMBER: 091119010 BUSINESS ADDRESS: STREET 1: 4058 N. COLLEGE AVENUE STREET 2: SUITE 250 CITY: FAYETTEVILLE STATE: AR ZIP: 72703 BUSINESS PHONE: 479-935-4511 MAIL ADDRESS: STREET 1: 4058 N. COLLEGE AVENUE STREET 2: SUITE 250 CITY: FAYETTEVILLE STATE: AR ZIP: 72703 D/A 1 primary_doc.xml X0603 D/A LIVE 0001471544 ushealthrecord, inc. 4058 N. COLLEGE AVENUE SUITE 250 FAYETTEVILLE AR 72703 479-935-4511 DELAWARE None None Corporation true Scott L. Bolding 4058 N. College Avenue Suite 250 Fayetteville AR 72703 Executive Officer Director Richard D. Roblee 4058 N. College Avenue Suite 250 Fayetteville AR 72703 Director Mark McQueen 4058 N. College Avenue Suite 250 Fayetteville AR 72703 Director Jim Holder 4058 N. College Avenue Suite 250 Fayetteville AR 72703 Executive Officer Mr. Holder is Chief Financial Officer of the company. Joseph M. Roblee 4058 N. College Avenue Suite 250 Fayetteville AR 72703 Executive Officer Mr. Roblee is an Executive Vice President and Chief Technical Officer of the company. Melissa W. Acoach 4058 N. College Avenue Suite 250 Fayetteville AR 72703 Executive Officer Ms. Acoach is an Executive Vice President, Chief Marketing Officer, and Secretary of the company. Other Health Care $1 - $1,000,000 06 true 0001471544-09-000003 2009-07-21 false true false 50000 None None None None N/A N/A N/A XX 72703 AR 4000000 505000 3495000 false 5 0 0 0 false ushealthrecord, inc. Scott L. Bolding by SH Scott L. Bolding Chairman and Chief Executive Officer 2009-10-14 -----END PRIVACY-ENHANCED MESSAGE-----