0001523709-14-000001.txt : 20141216 0001523709-14-000001.hdr.sgml : 20141216 20141216142940 ACCESSION NUMBER: 0001523709-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141216 DATE AS OF CHANGE: 20141216 EFFECTIVENESS DATE: 20141216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SHADOW HEALTH, INC. CENTRAL INDEX KEY: 0001523709 IRS NUMBER: 900728777 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-230227 FILM NUMBER: 141289292 BUSINESS ADDRESS: STREET 1: 15 SW 1ST AVENUE, STE. B CITY: GAINESVILLE STATE: FL ZIP: 32601 BUSINESS PHONE: 352-224-5012 MAIL ADDRESS: STREET 1: 15 SW 1ST AVENUE, STE. B CITY: GAINESVILLE STATE: FL ZIP: 32601 D 1 primary_doc.xml X0707 D LIVE 0001523709 SHADOW HEALTH, INC. 15 SW 1ST AVENUE, STE. B GAINESVILLE FL FLORIDA 32601 352-224-5012 FLORIDA None None Corporation true 2011 DAVID MASSIAS c/o SHADOW HEALTH, INC. 15 SW 1st Avenue, Ste. B GAINESVILLE FL FLORIDA 32601 Executive Officer Director G. W. ROBINSON c/o SHADOW HEALTH, INC. 15 SW 1st Avenue, Ste. B GAINESVILLE FL FLORIDA 32601 Director PETER SARANTOS c/o SHADOW HEALTH, INC. 15 SW 1st Avenue, Ste. B GAINESVILLE FL FLORIDA 32601 Director ERIC GODET c/o SHADOW HEALTH, INC. 15 SW 1st Avenue, Ste. B GAINESVILLE FL FLORIDA 32601 Director THOMAS MALLINI c/o SHADOW HEALTH, INC. 15 SW 1st Avenue, Ste. B GAINESVILLE FL FLORIDA 32601 Director PATRICK J. BIZUB c/o SHADOW HEALTH, INC. 15 SW 1st Avenue, Ste. B GAINESVILLE FL FLORIDA 32601 Executive Officer Other Technology Decline to Disclose 06b false true false true false 25000 3000000 0 3000000 Offering of Common Stock. false 0 0 0 0 false SHADOW HEALTH, INC. /s/ David Massias David Massias President 2014-12-16