0001619376-16-000002.txt : 20160809 0001619376-16-000002.hdr.sgml : 20160809 20160809142450 ACCESSION NUMBER: 0001619376-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160809 DATE AS OF CHANGE: 20160809 EFFECTIVENESS DATE: 20160809 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Autism Home Support Services Inc. CENTRAL INDEX KEY: 0001619376 IRS NUMBER: 270727160 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-268569 FILM NUMBER: 161817324 BUSINESS ADDRESS: STREET 1: 5 REVERE DRIVE STREET 2: SUITE 120 CITY: NORTHBROOK STATE: IL ZIP: 60062 BUSINESS PHONE: 847-807-3717 MAIL ADDRESS: STREET 1: 5 REVERE DRIVE STREET 2: SUITE 120 CITY: NORTHBROOK STATE: IL ZIP: 60062 D 1 primary_doc.xml X0707 D LIVE 0001619376 Autism Home Support Services Inc. 5 REVERE DRIVE SUITE 120 NORTHBROOK IL ILLINOIS 60062 847-807-3717 ILLINOIS None None Corporation true Laura McKee 5 Revere Drive Suite 120 Northbrook IL ILLINOIS 60062 Executive Officer Director Stephen Kaufman 5 Revere Drive Suite 120 Northbrook IL ILLINOIS 60062 Executive Officer Director Andy Oleszczuk 5 Revere Drive Suite 120 Northbrook IL ILLINOIS 60062 Director Tom Dolson 5 Revere Drive Suite 120 Northbrook IL ILLINOIS 60062 Director Chris McGowan 5 Revere Drive Suite 120 Northbrook IL ILLINOIS 60062 Director Gordon Moore 5 Revere Drive Suite 120 Northbrook IL ILLINOIS 60062 Director Other Health Care Decline to Disclose 06b false 2016-07-25 false true false 0 1047689 1047689 0 false 16 0 0 40000 true A portion of the proceeds may be used for general working capital purposes, which may include ordinary course compensation and/or repayment of loans to officers and directors. false Autism Home Support Services Inc. /s/ Laura McKee Laura McKee Chief Executive Officer 2016-08-05