0001461373-16-000096.txt : 20160708 0001461373-16-000096.hdr.sgml : 20160708 20160708153507 ACCESSION NUMBER: 0001461373-16-000096 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160708 DATE AS OF CHANGE: 20160708 EFFECTIVENESS DATE: 20160708 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FokusLabs Behavioral Solutions, Inc. CENTRAL INDEX KEY: 0001677906 IRS NUMBER: 472236799 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-266654 FILM NUMBER: 161759229 BUSINESS ADDRESS: STREET 1: 3331 HERITAGE TRADE DRIVE STREET 2: SUITE 101 CITY: WAKE FOREST STATE: NC ZIP: 27587 BUSINESS PHONE: 919-813-0427 MAIL ADDRESS: STREET 1: 3331 HERITAGE TRADE DRIVE STREET 2: SUITE 101 CITY: WAKE FOREST STATE: NC ZIP: 27587 D 1 primary_doc.xml X0707 D LIVE 0001677906 FokusLabs Behavioral Solutions, Inc. 3331 HERITAGE TRADE DRIVE SUITE 101 WAKE FOREST NC NORTH CAROLINA 27587 919-813-0427 DELAWARE FokusLabs, Inc. FokusLabs, LLC None Corporation true 2014 Richard M. Brancaccio 3331 Heritage Trade Drive Suite 101 Wake Forest NC NORTH CAROLINA 27587 Executive Officer Director Richard J. Brancaccio 3331 Heritage Trade Drive Suite 101 Wake Forest NC NORTH CAROLINA 27587 Executive Officer Jonathon M. Warren 3331 Heritage Trade Drive Suite 101 Wake Forest NC NORTH CAROLINA 27587 Director David E. Gardner 3331 Heritage Trade Drive Suite 101 Wake Forest NC NORTH CAROLINA 27587 Director Chris Ng Cashin 3331 Heritage Trade Drive Suite 101 Wake Forest NC NORTH CAROLINA 27587 Director Other Technology Decline to Disclose 06b false 2016-06-10 false true false 0 343444 343444 0 false 3 0 0 0 false FokusLabs Behavioral Solutions, Inc. /s/ Richard M. Brancaccio Richard M. Brancaccio President and CEO 2016-07-08