0001738555-22-000002.txt : 20221215 0001738555-22-000002.hdr.sgml : 20221215 20221215151847 ACCESSION NUMBER: 0001738555-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221215 DATE AS OF CHANGE: 20221215 EFFECTIVENESS DATE: 20221215 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: 021-467594 FILM NUMBER: 221464644 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 NE ATLANTA GA GEORGIA 30307 404-308-0071 DELAWARE None None Limited Liability Company true 2017 David Martin 1136 Lullwater Road NE Atlanta GA GEORGIA 30307 Executive Officer Director Ken Smith 1136 Lullwater Road NE Atlanta GA GEORGIA 30307 Director Larry Tedesco 1136 Lullwater Road NE Atlanta GA GEORGIA 30307 Executive Officer Robert Matheny 1136 Lullwater Road NE Atlanta GA GEORGIA 30307 Director Darrell Caudill 1136 Lullwater Road NE Atlanta GA GEORGIA 30307 Director David Kennedy 1136 Lullwater Road NE Atlanta GA GEORGIA 30307 Director Other Health Care Decline to Disclose 06b false 2022-12-02 false true false 2500 500000 120000 380000 false 2 0 0 0 false Basis Medical, LLC David Martin David Martin Chief Executive Officer 2022-12-12