0001703897-17-000002.txt : 20170426 0001703897-17-000002.hdr.sgml : 20170426 20170426171731 ACCESSION NUMBER: 0001703897-17-000002 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: KOONCE DRUG COMPANY, INC. CENTRAL INDEX KEY: 0001703897 IRS NUMBER: 561978965 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-285554 FILM NUMBER: 17785416 BUSINESS ADDRESS: STREET 1: 220 S. MAIN STREET CITY: TABOR CITY STATE: NC ZIP: 28463 BUSINESS PHONE: 910-653-4800 MAIL ADDRESS: STREET 1: 220 S. MAIN STREET CITY: TABOR CITY STATE: NC ZIP: 28463 D 1 primary_doc.xml X0707 D LIVE 0001703897 KOONCE DRUG COMPANY, INC. 220 S. MAIN STREET TABOR CITY NC NORTH CAROLINA 28463 910-653-4800 NORTH CAROLINA None None Corporation true STERLING GRADY KOONCE 220 S. MAIN STREET TABOR CITY NC NORTH CAROLINA 28463 Executive Officer Director CAROLINE KOONCE 220 S. MAIN STREET TABOR CITY NC NORTH CAROLINA 28463 Executive Officer Director Other Health Care Decline to Disclose 06b false 2016-06-17 false true false 0 1140000 55000 1085000 false 1 0 0 0 false KOONCE DRUG COMPANY, INC. /s/ Miranda R. Miller Miranda R. Miller Attorney-in-Fact 2017-04-25