0001623592-14-000002.txt : 20141229 0001623592-14-000002.hdr.sgml : 20141225 20141229131845 ACCESSION NUMBER: 0001623592-14-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141229 DATE AS OF CHANGE: 20141229 EFFECTIVENESS DATE: 20141229 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Potomac Health Solutions, Inc. CENTRAL INDEX KEY: 0001623592 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-227511 FILM NUMBER: 141311736 BUSINESS ADDRESS: STREET 1: 1800 ALEXANDER BELL DRIVE, STE. 400 CITY: RESTON STATE: VA ZIP: 20191-5459 BUSINESS PHONE: 703-774-8278 MAIL ADDRESS: STREET 1: 1800 ALEXANDER BELL DRIVE, STE. 400 CITY: RESTON STATE: VA ZIP: 20191-5459 D/A 1 primary_doc.xml X0707 D/A LIVE 0001623592 Potomac Health Solutions, Inc. 1800 ALEXANDER BELL DRIVE, STE. 400 RESTON VA VIRGINIA 20191-5459 703-774-8278 DELAWARE None None Corporation true 2014 Kenneth Jay Gordon c/o Potomac Health Solutions, Inc. 1800 Alexander Bell Drive, Ste. 400 Reston VA VIRGINIA 20191-5459 Executive Officer Director Paul J Guthrie c/o Potomac Health Solutions, Inc. 1800 Alexander Bell Drive, Ste. 400 Reston VA VIRGINIA 20191-5459 Executive Officer Director Other Health Care Decline to Disclose 06b true 0001623592-14-000001 2014-10-17 false true true Subordinated Convertible Promissory Notes can convert to Stock upon a qualified event. false 0 75000 71600 3400 false 7 0 0 0 false Potomac Health Solutions, Inc. /s/ Kenneth J. Gordon Kenneth Jay Gordon Chief Executive Officer 2014-11-14