0001610047-16-000003.txt : 20161024 0001610047-16-000003.hdr.sgml : 20161024 20161024094807 ACCESSION NUMBER: 0001610047-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161024 DATE AS OF CHANGE: 20161024 EFFECTIVENESS DATE: 20161024 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: 021-273055 FILM NUMBER: 161947412 BUSINESS ADDRESS: STREET 1: 209 10TH AVENUE SOUTH STREET 2: SUITE 332 CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 615-412-9425 MAIL ADDRESS: STREET 1: 209 10TH AVENUE SOUTH STREET 2: SUITE 332 CITY: NASHVILLE STATE: TN ZIP: 37203 D 1 primary_doc.xml X0707 D LIVE 0001610047 Axial Healthcare, Inc. 209 10TH AVENUE SOUTH SUITE 332 NASHVILLE TN TENNESSEE 37203 615-345-3555 DELAWARE None None Corporation true 2012 John Donahue 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Executive Officer Director Chairman and Chief Executive Officer Kevin Kirkpatrick 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Executive Officer Director President and Chief Operating Officer Anna Haghgooie 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Director Liam Donohue 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Director Nancy Brown 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Director Matthew Feczko 209 10th Avenue South Suite 332 Nashville TN TENNESSEE 37203 Director Other Health Care Decline to Disclose 06b false 2016-10-11 false true false 0 17749330 17039988 709342 The initial closing for $16,500,000 took place on October 11, 2016 and the first additional closing for $539,988 took place immediately thereafter. Upon demand of the company, purchasers in the offering shall purchase up to an additional $709,342. false 6 0 0 0 false Axial Healthcare, Inc. /s/ Kevin Kirkpatrick Kevin Kirkpatrick President and Chief Operating Officer 2016-10-24