0001582022-13-000002.txt : 20130809 0001582022-13-000002.hdr.sgml : 20130809 20130809112504 ACCESSION NUMBER: 0001582022-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130809 DATE AS OF CHANGE: 20130809 EFFECTIVENESS DATE: 20130809 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mental Health Data Services, Inc. CENTRAL INDEX KEY: 0001582022 IRS NUMBER: 454104624 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-201077 FILM NUMBER: 131025128 BUSINESS ADDRESS: STREET 1: 9736 NE 119TH WAY STREET 2: E419 CITY: KIRKLAND STATE: WA ZIP: 98034 BUSINESS PHONE: 425-968-5351 MAIL ADDRESS: STREET 1: 9736 NE 119TH WAY STREET 2: E419 CITY: KIRKLAND STATE: WA ZIP: 98034 D 1 primary_doc.xml X0706 D LIVE 0001582022 Mental Health Data Services, Inc. 9736 NE 119TH WAY E419 KIRKLAND WA WASHINGTON 98034 425-968-5351 WASHINGTON None None Corporation true 2011 Jonathon J Hauser 9736 NE 119th Way E419 Kirkland WA WASHINGTON 98034 Executive Officer Corporate Secretary Corey Fagan 6731 W Mercer Way Mercer Island WA WASHINGTON 98040 Executive Officer CEO Other Health Care No Revenues 06 false 2013-08-07 true true false 0 500000 0 500000 Series A false 0 0 0 150000 true Executive compensation has yet to be fully determined and is based on performance. false Mental Health Data Services, Inc. Jonathon Hauser Jonathon Hauser Corporate Secretary 2013-08-09