0001528124-15-000002.txt : 20150114 0001528124-15-000002.hdr.sgml : 20150114 20150114115559 ACCESSION NUMBER: 0001528124-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150114 DATE AS OF CHANGE: 20150114 EFFECTIVENESS DATE: 20150114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HealthPlan Data Solutions, LLC CENTRAL INDEX KEY: 0001528124 IRS NUMBER: 272317602 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-232171 FILM NUMBER: 15526583 BUSINESS ADDRESS: STREET 1: 7491 NORTH FEDERAL HWY STREET 2: C5-265 CITY: BOCA RATON STATE: FL ZIP: 33487 BUSINESS PHONE: 614.515.2700 MAIL ADDRESS: STREET 1: 7491 NORTH FEDERAL HWY STREET 2: C5-265 CITY: BOCA RATON STATE: FL ZIP: 33487 D 1 primary_doc.xml X0707 D LIVE 0001528124 HealthPlan Data Solutions, LLC 7491 NORTH FEDERAL HWY C5-265 BOCA RATON FL FLORIDA 33487 614.515.2700 FLORIDA None None Limited Liability Company true Detlef Sarbok 445C E Cheyenne Mtn Blvd PMB 337 Colorado Springs CO COLORADO 80906 Executive Officer Director Serves as Manager and chief executive officer Gary Rutherford 4499 Summit Ridge Columbus OH OHIO 43220 Executive Officer Director Serves as Manager and VP Mark Krone 8203 Baywood Lane Maineville OH OHIO 45039 Director Serves as Manager Other Health Care $1 - $1,000,000 06b false 2014-01-31 true true true true true false 0 Indefinite 1750000 Indefinite Offering includes profit interests issued without cash consideration. false 5 0 0 0 true false HealthPlan Data Solutions, LLC /Martin Barrack/ Martin Barrack Assistant Secretary 2015-01-14