0001619942-15-000001.txt : 20150910 0001619942-15-000001.hdr.sgml : 20150910 20150910135412 ACCESSION NUMBER: 0001619942-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150910 DATE AS OF CHANGE: 20150910 EFFECTIVENESS DATE: 20150910 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: 021-247355 FILM NUMBER: 151100856 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 2126 21st Ave South NASHVILLE TN TENNESSEE 37212 256-463-6734 DELAWARE None None Limited Liability Company true 2014 Hallet Ogburn 2126 21st Ave South Nashville TN TENNESSEE 37212 Executive Officer Director Jim Wills 2126 21st Ave South Nashville TN TENNESSEE 37212 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 William K Holbrook 2833 Cherokee Road Birmingham AL ALABAMA 35223 Director Thomas Bestor Ward 2126 21st Ave South Nashville TN TENNESSEE 37212 Director Mike West 202 S Northshore Drive Suite 300 Knoxville TN TENNESSEE 37922 Director Other Health Care Decline to Disclose 06b false 2015-08-30 false true false 25000 1000000 15000 985000 false 1 0 0 0 false MedPass Health, LLC Hallet Ogburn Hallet Ogburn Manager 2015-09-10