0001471544-12-000001.txt : 20120621 0001471544-12-000001.hdr.sgml : 20120621 20120621090154 ACCESSION NUMBER: 0001471544-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120621 DATE AS OF CHANGE: 20120621 EFFECTIVENESS DATE: 20120621 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-180073 FILM NUMBER: 12918532 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 1 primary_doc.xml X0705 D LIVE 0001471544 ushealthrecord, inc. 4058 N. COLLEGE AVENUE SUITE 250 FAYETTEVILLE AR ARKANSAS 72703 479-935-4511 DELAWARE RxDDS, Inc. None Corporation true James Lewis 4058 N. College Ave., Suite 250 Fayetteville AR ARKANSAS 72703 Executive Officer Richard Roblee 4058 N. College Ave., Suite 250 Fayetteville AR ARKANSAS 72703 Director Tony Sherman 4058 N. College Ave., Suite 250 Fayetteville AR ARKANSAS 72703 Director Scott Bailey 4058 N. College Ave., Suite 250 Fayetteville AR ARKANSAS 72703 Director Jim Phillips 4058 N. College Ave., Suite 205 Fayetteville AR ARKANSAS 72703 Director Jeff Amerine 4058 N. College Ave., Suite 205 Fayetteville AR ARKANSAS 72703 Director Other Health Care Decline to Disclose 06 false 2012-06-20 false true false 0 Indefinite 25000 Indefinite false 1 0 0 0 false ushealthrecord, inc. James Lewis James Lewis Chief Executive Officer 2012-06-21