0001610047-15-000001.txt : 20150714 0001610047-15-000001.hdr.sgml : 20150714 20150714113708 ACCESSION NUMBER: 0001610047-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150714 DATE AS OF CHANGE: 20150714 EFFECTIVENESS DATE: 20150714 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Axial Healthcare, Inc. CENTRAL INDEX KEY: 0001610047 IRS NUMBER: 461391071 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-243647 FILM NUMBER: 15986829 BUSINESS ADDRESS: STREET 1: 41 PEABODY STREET CITY: NASHVILLE STATE: TN ZIP: 37210 BUSINESS PHONE: 615-412-9425 MAIL ADDRESS: STREET 1: 41 PEABODY STREET CITY: NASHVILLE STATE: TN ZIP: 37210 D 1 primary_doc.xml X0707 D LIVE 0001610047 Axial Healthcare, Inc. 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 615-412-9425 DELAWARE None None Corporation true 2012 John J Donahue 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Executive Officer Director Kevin Kirkpatrick 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Executive Officer Paul McCurry 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Executive Officer Director Anna Haghgooie 1000 W. Fulton Market Suite 213 Chicago IL ILLINOIS 60607 Director Craig Gomulka 120 Fifth Avenue Suite 2116 Pittsburgh PA PENNSYLVANIA 15222 Director Liam Donohue 470 Atlantic Avenue 12th Floor Boston MA MASSACHUSETTS 02210 Director Other Health Care Decline to Disclose 06b false 2015-06-29 false true false 0 8000012 8000012 0 false 6 0 0 0 Excludes normal compensation for officers false Axial Healthcare, Inc. /s/ Kevin Kirkpatrick Kevin Kirkpatrick President, COO and Assistant Secretary 2015-07-10