0001619942-16-000005.txt : 20161122 0001619942-16-000005.hdr.sgml : 20161122 20161122164135 ACCESSION NUMBER: 0001619942-16-000005 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161122 DATE AS OF CHANGE: 20161122 EFFECTIVENESS DATE: 20161122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MedProctor, LLC CENTRAL INDEX KEY: 0001619942 IRS NUMBER: 465056084 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-247355 FILM NUMBER: 162013675 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 FORMER COMPANY: FORMER CONFORMED NAME: MedPass Health, LLC DATE OF NAME CHANGE: 20140919 D/A 1 primary_doc.xml X0707 D/A LIVE 0001619942 MedProctor, LLC 2126 21st Ave South NASHVILLE TN TENNESSEE 37212 256-463-6734 DELAWARE MedPass Health, LLC 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 Director Bill McConnell 308 Granny White Pike Brentwood TN TENNESSEE 37027 Director Auston DeVille 400 Buena Vista Road Huntingdon TN TENNESSEE 37027 Director William K Holbrook 2833 Cherokee Road Birmingham AL ALABAMA 35223 Director Thomas Bestor Ward 2126 21st Ave South Nashville TN TENNESSEE 37212 Director Lonnie Strickland 1 Old North River Pt Tuscaloosa AL ALABAMA 35406 Director Other Health Care Decline to Disclose 06b true 0001619942-16-000003 2015-08-30 true true false 25000 1690000 840000 850000 false 14 0 0 0 false MedProctor, LLC Hallet Ogburn Hallet Ogburn Chief Executive Officer 2016-11-22