0001623592-15-000001.txt : 20150325
0001623592-15-000001.hdr.sgml : 20150325
20150325113114
ACCESSION NUMBER: 0001623592-15-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150325
DATE AS OF CHANGE: 20150325
EFFECTIVENESS DATE: 20150325
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: 021-236588
FILM NUMBER: 15723873
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
2015-03-11
false
true
true
Subordinated Convertible Promissory Notes can convert to Stock upon a qualified event.
false
0
500000
85000
415000
false
3
0
0
120000
false
Potomac Health Solutions, Inc.
/s/ Kenneth Jay Gordon
Kenneth Jay Gordon
Chief Executive Officer
2015-03-24