0001582022-18-000004.txt : 20180615 0001582022-18-000004.hdr.sgml : 20180615 20180615154454 ACCESSION NUMBER: 0001582022-18-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180615 DATE AS OF CHANGE: 20180615 EFFECTIVENESS DATE: 20180615 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: 021-314734 FILM NUMBER: 18902087 BUSINESS ADDRESS: STREET 1: 3025 SW 1ST AVENUE CITY: PORTLAND STATE: OR ZIP: 97201 BUSINESS PHONE: 206-931-2632 MAIL ADDRESS: STREET 1: 3025 SW 1ST AVENUE CITY: PORTLAND STATE: OR ZIP: 97201 D 1 primary_doc.xml X0708 D LIVE 0001582022 Mental Health Data Services, Inc. 3025 SW 1ST AVENUE PORTLAND OR OREGON 97201 206-931-2632 WASHINGTON None None Corporation true Eric Meier 3025 SW 1st Avenue Portland OR OREGON 97201 Executive Officer Director Todd Lowdon 3025 SW 1st Avenue Portland OR OREGON 97201 Executive Officer Corey Fagan 3025 SW 1st Avenue Portland OR OREGON 97201 Director J. Corey Schmid 3025 SW 1st Avenue Portland OR OREGON 97201 Director Arnold Silverman 3025 SW 1st Avenue Portland OR OREGON 97201 Director Jeffrey T. Webber 3025 SW 1st Avenue Portland OR OREGON 97201 Director Other Health Care Decline to Disclose 06b false 2018-06-04 false true false Excluding compensation paid to executive officers in the ordinary course of business 0 2756336 1449498 1306838 false 17 0 0 0 false Mental Health Data Services, Inc. /s/ Eric Meier Eric Meier President 2018-06-15