0001619942-14-000001.txt : 20141003 0001619942-14-000001.hdr.sgml : 20141003 20141003132756 ACCESSION NUMBER: 0001619942-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141003 DATE AS OF CHANGE: 20141003 EFFECTIVENESS DATE: 20141003 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MedPass Health, LLC CENTRAL INDEX KEY: 0001619942 IRS NUMBER: 465056084 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-225766 FILM NUMBER: 141139133 BUSINESS ADDRESS: STREET 1: 3127 LONG BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 256-463-6734 MAIL ADDRESS: STREET 1: 3127 LONG BOULEVARD CITY: NASHVILLE STATE: TN ZIP: 37203 D 1 primary_doc.xml X0707 D LIVE 0001619942 MedPass Health, LLC 3127 LONG BOULEVARD NASHVILLE TN TENNESSEE 37203 256-463-6734 DELAWARE None None Limited Liability Company true 2014 Hallett Ogburn 3127 Long Blvd Suite 105 Nashville TN TENNESSEE 37203 Executive Officer Director Jim Wills 3127 Long Blvd Suite 105 Nashville TN TENNESSEE 37203 Executive Officer Director Bill McConnell 308 Granny White Pike Brentwood TN TENNESSEE 37027 Executive Officer Director Auston DeVille 400 Buena Vista Road Huntingdon TN TENNESSEE 37027 Executive Officer Director Kevin Bond 30488 Highway 17 Millry AL ALABAMA 36558 Executive Officer DeWitt Jones 423 Edgeland Place Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 06b false true false true false 25000 550000 0 550000 false 0 0 0 0 false MedPass Health, LLC Hallett Ogburn Hallett Ogburn Manager 2014-10-03