0001735948-19-000001.txt : 20191009 0001735948-19-000001.hdr.sgml : 20191009 20191008174209 ACCESSION NUMBER: 0001735948-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191009 DATE AS OF CHANGE: 20191008 EFFECTIVENESS DATE: 20191009 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Greenbrook TMS Inc. CENTRAL INDEX KEY: 0001735948 IRS NUMBER: 000000000 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-350650 FILM NUMBER: 191143402 BUSINESS ADDRESS: STREET 1: 890 YONGE STREET, 7TH FLOOR CITY: TORONTO STATE: A6 ZIP: M4W 3P4 BUSINESS PHONE: 416-322-9700 MAIL ADDRESS: STREET 1: 890 YONGE STREET, 7TH FLOOR CITY: TORONTO STATE: A6 ZIP: M4W 3P4 D 1 primary_doc.xml X0708 D LIVE 0001735948 Greenbrook TMS Inc. 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 416-322-9700 ONTARIO, CANADA None None Corporation true 2018 Erns Loubser 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Executive Officer William Leonard 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Executive Officer Director Elias Vamvakas 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Executive Officer Director Brian P. Burke 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Director Colleen Campbell 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Director Sasha Cucuz 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Director Adrienne Graves 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Director Frank Tworecke 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Director Roberto Drassinower 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Executive Officer Geoffrey Grammer 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Executive Officer Euphia Hsu Smith 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Executive Officer Adele C. Oliva 890 YONGE STREET, 7TH FLOOR TORONTO A6 ONTARIO, CANADA M4W 3P4 Director Other Health Care $25,000,001 - $100,000,000 06b false 2019-09-26 false true true 0 Indefinite 2611036 Indefinite Investors may be entitled to additional consideration following 12 month Earn-Out Period. Earn-Out Payment to equal (a) aggregate EBITDA of acquired business during Earn-Out Period, multiplied by 6.75 minus (b) US$10.5M, payable 30%/70% in shares/cash. false 9 0 0 0 false Greenbrook TMS Inc. /s/ Erns Loubser Erns Loubser Chief Financial Officer and Treasurer 2019-10-08