0001405086-16-000600.txt : 20160816 0001405086-16-000600.hdr.sgml : 20160816 20160816124704 ACCESSION NUMBER: 0001405086-16-000600 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160816 DATE AS OF CHANGE: 20160816 EFFECTIVENESS DATE: 20160816 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PAIN DOCTOR, INC. CENTRAL INDEX KEY: 0001612329 IRS NUMBER: 611736355 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-269001 FILM NUMBER: 161835412 BUSINESS ADDRESS: STREET 1: 9977 NORTH 90TH STREET, SUITE 320 CITY: SCOTTSDALE STATE: AZ ZIP: 85258 BUSINESS PHONE: 480-245-6212 MAIL ADDRESS: STREET 1: 9977 NORTH 90TH STREET, SUITE 320 CITY: SCOTTSDALE STATE: AZ ZIP: 85258 D 1 primary_doc.xml X0707 D LIVE 0001612329 PAIN DOCTOR, INC. 9977 NORTH 90TH STREET, SUITE 320 SCOTTSDALE AZ ARIZONA 85258 480-245-6212 DELAWARE None None Corporation true 2014 JOSEPH CARLON 9977 NORTH 90TH STREET SUITE 320 SCOTTSDALE AZ ARIZONA 85258 Executive Officer Director CHIEF EXECUTIVE OFFICER PAUL J. LYNCH 9977 NORTH 90TH STREET SUITE 320 SCOTTSDALE AZ ARIZONA 85258 Executive Officer Director TORY L. MCJUNKIN 9977 NORTH 90TH STREET SUITE 320 SCOTTSDALE AZ ARIZONA 85258 Executive Officer Director VICE PRESIDENT AND SECRETARY MICHAEL FARELLO 9977 NORTH 90TH STREET SUITE 320 SCOTTSDALE AZ ARIZONA 85258 Director DENNIS EVER 9977 NORTH 90TH STREET SUITE 320 SCOTTSDALE AZ ARIZONA 85258 Director Other Decline to Disclose 06b false 2016-08-03 false true false 0 447573 447573 0 false 3 0 0 0 false PAIN DOCTOR, INC. /S/JOSEPH CARLON JOSEPH CARLON CHIEF EXECUTIVE OFFICER 2016-08-16