0001471544-15-000001.txt : 20151030 0001471544-15-000001.hdr.sgml : 20151030 20151029180035 ACCESSION NUMBER: 0001471544-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151030 DATE AS OF CHANGE: 20151029 EFFECTIVENESS DATE: 20151030 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: 021-250377 FILM NUMBER: 151184851 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 X0707 D LIVE 0001471544 ushealthrecord, inc. 4058 N. COLLEGE AVENUE SUITE 250 FAYETTEVILLE AR ARKANSAS 72703 479-935-4511 DELAWARE None None Corporation true Richard Roblee 4058 N. College Avenue Suite 250 Fayetteville AR ARKANSAS 72703 Executive Officer Director Larry Wiley 4058 N. College Avenue Suite 250 Fayetteville AR ARKANSAS 72703 Executive Officer Joe Roblee 4058 N. College Avenue Suite 250 Fayetteville AR ARKANSAS 72703 Executive Officer Jim Phillips 4058 N. College Avenue Suite 250 Fayetteville AR ARKANSAS 72703 Director Scott Bailey 4058 N. College Avenue Suite 250 Fayetteville AR ARKANSAS 72703 Director Gary Baker 4058 N. College Avenue Suite 250 Fayetteville AR ARKANSAS 72703 Director Other Health Care Decline to Disclose 06b false true true true true true true false 1 Indefinite 0 Indefinite false 0 0 0 0 true false ushealthrecord, inc. /s/ Richard Roblee Richard Roblee Chairman 2015-10-29