0001778284-19-000001.txt : 20190607 0001778284-19-000001.hdr.sgml : 20190607 20190607150910 ACCESSION NUMBER: 0001778284-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190607 DATE AS OF CHANGE: 20190607 EFFECTIVENESS DATE: 20190607 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Three Oaks Hospice, Inc. CENTRAL INDEX KEY: 0001778284 IRS NUMBER: 834461666 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-341447 FILM NUMBER: 19885326 BUSINESS ADDRESS: STREET 1: 717 N. HARWOOD, SUITE 560 CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: 214-850-6210 MAIL ADDRESS: STREET 1: 717 N. HARWOOD, SUITE 560 CITY: DALLAS STATE: TX ZIP: 75201 D 1 primary_doc.xml X0708 D LIVE 0001778284 Three Oaks Hospice, Inc. 717 N. HARWOOD, SUITE 560 DALLAS TX TEXAS 75201 214-850-6210 DELAWARE None None Corporation true 2019 Andrea Bohannon 7225 N. Janmar Dallas TX TEXAS 75230 Executive Officer Director David C. Gasmire 7327 Old San Antonio Rd Fredericksburg TX TEXAS 78624 Executive Officer Director Woodrin Grossman 4900 Riverbend Drive Ft. Worth TX TEXAS 76109 Executive Officer Director Mark Brooks 1485 Oak Rim Drive Hillsborough CA CALIFORNIA 94010 Director Diane Daych 20 Park Avenue Madison CT CONNECTICUT 06443 Director David Fitzgerald 3825 Bedford Ave. Suite 203 Nashville TN TENNESSEE 37215 Director Bruce Crosby 12 Cadillac Drive Suite 280 Brentwood TN TENNESSEE 37027 Director Richard R. Burnham 2505 Woodbridge Trail Mansfield TX TEXAS 76063 Director Other Health Care Decline to Disclose 06b false 2019-05-24 false true false 25000 21200000 15800000 5400000 false 17 0 0 0 false Three Oaks Hospice, Inc. /s/ Andrea Bohannon Andrea Bohannon President and CEO 2019-06-07