0001621732-15-000001.txt : 20150210 0001621732-15-000001.hdr.sgml : 20150210 20150210164101 ACCESSION NUMBER: 0001621732-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150210 DATE AS OF CHANGE: 20150210 EFFECTIVENESS DATE: 20150210 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Occusystem Services, Inc. CENTRAL INDEX KEY: 0001621732 IRS NUMBER: 464702123 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-233845 FILM NUMBER: 15594392 BUSINESS ADDRESS: STREET 1: 3322 WEST END AVENUE STREET 2: 11TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 615-797-8130 MAIL ADDRESS: STREET 1: 3322 WEST END AVENUE STREET 2: 11TH FLOOR CITY: NASHVILLE STATE: TN ZIP: 37203 D 1 primary_doc.xml X0707 D LIVE 0001621732 Occusystem Services, Inc. 3322 WEST END AVENUE 11TH FLOOR NASHVILLE TN TENNESSEE 37203 615-797-8130 DELAWARE Occusure Services, Inc. None Corporation true 2013 Richard D. Rehm 3322 West End Avenue 11th Floor Nashville TN TENNESSEE 37203 Executive Officer Director President & CEO Jeffrey J. Rice 3322 West End Avenue 11th Floor Nashville TN TENNESSEE 37203 Executive Officer Director Secretary John P. Byrnes 3322 West End Avenue 11th Floor Nashville TN TENNESSEE 37203 Director M. Duncan Dashiff 3322 West End Avenue 11th Floor Nashville TN TENNESSEE 37203 Director Harry R. Jacobson 3322 West End Avenue 11th Floor Nashville TN TENNESSEE 37203 Director Other Health Care Decline to Disclose 06b false 2015-01-27 false true true false 40000 1085000 1085000 0 false 2 0 0 0 false Occusystem Services, Inc. /s/ Richard D. Rehm, MD Richard D. Rehm, MD President & CEO 2015-02-10