0001699414-17-000001.txt : 20170303 0001699414-17-000001.hdr.sgml : 20170303 20170303113403 ACCESSION NUMBER: 0001699414-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170303 DATE AS OF CHANGE: 20170303 EFFECTIVENESS DATE: 20170303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Natural State Healthcare, Inc. CENTRAL INDEX KEY: 0001699414 IRS NUMBER: 815105707 STATE OF INCORPORATION: AR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-281736 FILM NUMBER: 17662115 BUSINESS ADDRESS: STREET 1: 6731 RED ROBIN DRIVE CITY: VAN BUREN STATE: AR ZIP: 72956 BUSINESS PHONE: 9189517179 MAIL ADDRESS: STREET 1: 6731 RED ROBIN DRIVE CITY: VAN BUREN STATE: AR ZIP: 72956 D 1 primary_doc.xml X0707 D LIVE 0001699414 Natural State Healthcare, Inc. 6731 RED ROBIN DRIVE VAN BUREN AR ARKANSAS 72956 9189517179 ARKANSAS None None Corporation true 2016 Corey Hunt 6731 RED ROBIN DRIVE Van Buren AR ARKANSAS 72956 Executive Officer Director Derek Monts 6731 RED ROBIN DRIVE Van Buren AR ARKANSAS 72956 Executive Officer Director Edward Sigler 6731 RED ROBIN DRIVE Van Buren AR ARKANSAS 72956 Director Other Decline to Disclose 06b false 2017-02-27 false true true true false 0 N/a None None None N/a N/a N/a AR ARKANSAS 72758 UT UTAH false Indefinite 112000 Indefinite false 1 0 0 0 false Natural State Healthcare, Inc. Corey Hunt Corey Hunt President & CEO 2017-03-03