0001703879-17-000001.txt : 20170426 0001703879-17-000001.hdr.sgml : 20170426 20170426170932 ACCESSION NUMBER: 0001703879-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170426 DATE AS OF CHANGE: 20170426 EFFECTIVENESS DATE: 20170426 FILER: COMPANY DATA: COMPANY CONFORMED NAME: TWIN STATE HOME HEALTH CARE SERVICES, INC. CENTRAL INDEX KEY: 0001703879 IRS NUMBER: 562266334 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-285552 FILM NUMBER: 17785313 BUSINESS ADDRESS: STREET 1: 218 S. MAIN STREET CITY: TABOR CITY STATE: NC ZIP: 28463 BUSINESS PHONE: 910-653-4800 MAIL ADDRESS: STREET 1: 218 S. MAIN STREET CITY: TABOR CITY STATE: NC ZIP: 28463 D 1 primary_doc.xml X0707 D LIVE 0001703879 TWIN STATE HOME HEALTH CARE SERVICES, INC. 218 S. MAIN STREET TABOR CITY NC NORTH CAROLINA 28463 910-653-4800 NORTH CAROLINA None None Corporation true STERLING GRADY KOONCE 218 S. MAIN STREET TABOR CITY NC NORTH CAROLINA 28463 Executive Officer Director CAROLINE KOONCE 218 S. MAIN STREET TABOR CITY NC NORTH CAROLINA 28463 Director Other Health Care Decline to Disclose 06b false 2016-06-17 false true false 0 1140000 5000 1135000 false 1 0 0 0 false TWIN STATE HOME HEALTH CARE SERVICES, INC. /s/ Miranda R. Miller Miranda R. Miller Attorney-in-Fact 2017-04-25