0001623592-14-000003.txt : 20141230 0001623592-14-000003.hdr.sgml : 20141230 20141230145931 ACCESSION NUMBER: 0001623592-14-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141230 DATE AS OF CHANGE: 20141230 EFFECTIVENESS DATE: 20141230 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-231087 FILM NUMBER: 141315854 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 1 primary_doc.xml X0707 D 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 false 2014-12-19 false true true Subordinated Convertible Promissory Notes can convert to Stock upon a qualified event. false 0 10000 10000 0 false 1 0 0 0 false Potomac Health Solutions, Inc. /s/ Kenneth J. Gordon Kenneth Jay Gordon Chief Executive Officer 2014-12-30