0001200876-14-000095.txt : 20140612 0001200876-14-000095.hdr.sgml : 20140612 20140612172338 ACCESSION NUMBER: 0001200876-14-000095 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140612 DATE AS OF CHANGE: 20140612 EFFECTIVENESS DATE: 20140612 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Funeral Services, Inc. CENTRAL INDEX KEY: 0001610621 IRS NUMBER: 591205307 STATE OF INCORPORATION: FL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-219097 FILM NUMBER: 14908016 BUSINESS ADDRESS: STREET 1: P.O. BOX 13407 CITY: TALLAHASSEE STATE: FL ZIP: 32317 BUSINESS PHONE: 850-425-1340 MAIL ADDRESS: STREET 1: P.O. BOX 13407 CITY: TALLAHASSEE STATE: FL ZIP: 32317 D 1 primary_doc.xml X0707 D LIVE 0001610621 Funeral Services, Inc. 1200 Thomasville Road TALLAHASSEE FL FLORIDA 32303 850-425-1340 FLORIDA FSI Transition Merger Company None Corporation true 2014 William H. Williams, Jr. 1767 Hermitage Boulevard, Apt 11110 Mailing: PO Box 15112 (32317) Tallahassee FL FLORIDA 32308 Executive Officer Director CEO, President, Board Vice Chair, Treasurer William H. Bevis 232 Wacissa Springs Road PO Box 18 Wacissa FL FLORIDA 32361 Executive Officer EVP, Secretary David V. Toale 2918 Avenue E PO Box 1985 Holmes Beach FL FLORIDA 34218-1985 Director Board Chair Dolores A. Garcia 1600 S. MacDill Avenue, #301 Tampa FL FLORIDA 33629 Director Harriet C. Irwin 3621 Moody Trail Tallahassee FL FLORIDA 32309 Director David P. Farley 720 Cadiz Road Venice FL FLORIDA 34285 Director Andrew J. Hafer 2407 South Dundee Street Tampa FL FLORIDA 33629 Director James W. Atwood 1614 Debut Lane Winter Garden FL FLORIDA 34787 Director John A. Williams 1133 Rivera Street Venice FL FLORIDA 34285 Director Other Energy Decline to Disclose 06b false 2014-06-02 false true true Merger - Stock as consideration 0 3151000 3151000 0 true 24 56 0 0 0 false Funeral Services, Inc. /s/ William H. Bevis William H. Bevis Executive Vice President 2014-06-11