0001582022-16-000002.txt : 20160511 0001582022-16-000002.hdr.sgml : 20160511 20160510184347 ACCESSION NUMBER: 0001582022-16-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160511 DATE AS OF CHANGE: 20160510 EFFECTIVENESS DATE: 20160511 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-254834 FILM NUMBER: 161637328 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/A 1 primary_doc.xml X0707 D/A LIVE 0001582022 Mental Health Data Services, Inc. 13005 NE 182nd Place #B Bothell WA WASHINGTON 98011 650-520-1519 WASHINGTON None None Corporation true 2011 Corey Fagan 13005 NE 182nd Place #B Bothell WA WASHINGTON 98011 Executive Officer Director Jon Hauser 13005 NE 182nd Place #B Bothell WA WASHINGTON 98011 Executive Officer Director Eric Meier 13005 NE 182nd Place #B Bothell WA WASHINGTON 98011 Executive Officer Director Todd Lowdon 13005 NE 182nd Place #B Bothell WA WASHINGTON 98011 Executive Officer Director Nicholas Talbott 13005 NE 182nd Place #B Bothell WA WASHINGTON 98011 Executive Officer Other Health Care Decline to Disclose 06b true 0001582022-16-000001 2016-04-27 false true true false 33000 1000000 333333 666667 false 7 0 0 0 false Mental Health Data Services, Inc. Todd Lowdon Todd Lowdon CFO 2016-05-10