0001738555-18-000001.txt : 20180426 0001738555-18-000001.hdr.sgml : 20180426 20180426163841 ACCESSION NUMBER: 0001738555-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180426 DATE AS OF CHANGE: 20180426 EFFECTIVENESS DATE: 20180426 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Basis Medical, LLC CENTRAL INDEX KEY: 0001738555 IRS NUMBER: 815359623 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-311097 FILM NUMBER: 18779146 BUSINESS ADDRESS: STREET 1: 1136 LULLWATER ROAD CITY: ATLANTA STATE: GA ZIP: 30307 BUSINESS PHONE: 404-308-0071 MAIL ADDRESS: STREET 1: 1136 LULLWATER ROAD CITY: ATLANTA STATE: GA ZIP: 30307 D 1 primary_doc.xml X0708 D LIVE 0001738555 Basis Medical, LLC 1136 Lullwater Road Atlanta GA GEORGIA 30307 404-308-0071 DELAWARE None None Limited Liability Company true 2017 David A. Martin 1136 Lullwater Road Atlanta GA GEORGIA 30307 Executive Officer Director Timothy Patrick Sharkey 1136 Lullwater Road Atlanta GA GEORGIA 30307 Executive Officer Director Darrell Caudill 1136 Lullwater Road Atlanta GA GEORGIA 30307 Executive Officer Director Kenneth Harper 1136 Lullwater Road Atlanta GA GEORGIA 30307 Director Larry Tedesco 1136 Lullwater Road Atlanta GA GEORGIA 30307 Executive Officer Director Other Health Care Decline to Disclose 06b false 2018-04-20 false true false 50000 1000000 100000 900000 false 2 0 0 225000 Estimated salaries for such parties for twelve months of services false Basis Medical, LLC /s/ David A. Martin David A. Martin President and CEO 2018-04-20