0001571030-15-000004.txt : 20150507 0001571030-15-000004.hdr.sgml : 20150507 20150507162442 ACCESSION NUMBER: 0001571030-15-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150507 DATE AS OF CHANGE: 20150507 EFFECTIVENESS DATE: 20150507 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Brain Synergy Institute, LLC CENTRAL INDEX KEY: 0001571030 IRS NUMBER: 455533423 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-239402 FILM NUMBER: 15842135 BUSINESS ADDRESS: STREET 1: P.O. BOX 1965 CITY: COPPELL STATE: TX ZIP: 75019 BUSINESS PHONE: (877) 680-8470 MAIL ADDRESS: STREET 1: P.O. BOX 1965 CITY: COPPELL STATE: TX ZIP: 75019 D 1 primary_doc.xml X0707 D LIVE 0001571030 Brain Synergy Institute, LLC 105 Decker Court Suite 120 Irving TX TEXAS 75062 214-771-8885 TEXAS KCBR, LLC None Limited Liability Company true 2012 Darla J. Beam 1626 Fair Oaks Drive Westlake TX TEXAS 76262 Director LLC Manager Gary C. Randall 7925 Chaddington Drive North Richland Hills TX TEXAS 76182 Director LLC Manager Michael A. Sicuro 2317 Cedar Elm Terrace Westlake TX TEXAS 76262 Director LLC Manager Norine Yukon 5118 Mansfield View Court Austin TX TEXAS 78732 Director LLC Manager Kenneth C. Beam 1626 Fair Oaks Drive Westlake TX TEXAS 76262 Executive Officer Director President and LLC Manager Other Health Care Decline to Disclose 06b false 2015-05-01 false true true false 0 1500000 1500000 0 false 1 0 0 0 false Brain Synergy Institute, LLC /s/ Kenneth C. Beam Kenneth C. Beam President 2015-05-07