0000899243-16-033789.txt : 20161117 0000899243-16-033789.hdr.sgml : 20161117 20161117165125 ACCESSION NUMBER: 0000899243-16-033789 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161107 FILED AS OF DATE: 20161117 DATE AS OF CHANGE: 20161117 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Foundation Healthcare, Inc. CENTRAL INDEX KEY: 0001272597 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 200180812 STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 13900 N. PORTLAND AVENUE STREET 2: SUITE 200 CITY: OKLAHOMA CITY STATE: OK ZIP: 73134 BUSINESS PHONE: 4056081700 MAIL ADDRESS: STREET 1: 13900 N. PORTLAND AVENUE STREET 2: SUITE 200 CITY: OKLAHOMA CITY STATE: OK ZIP: 73134 FORMER COMPANY: FORMER CONFORMED NAME: Graymark Healthcare, Inc. DATE OF NAME CHANGE: 20080107 FORMER COMPANY: FORMER CONFORMED NAME: GRAYMARK PRODUCTIONS INC DATE OF NAME CHANGE: 20031210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bynum Justin CENTRAL INDEX KEY: 0001690415 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34171 FILM NUMBER: 162005494 MAIL ADDRESS: STREET 1: C/O FOUNDATION HEALTHCARE, INC. STREET 2: 13900 N. PORTLAND AVENUE, STE. 200 CITY: OKLAHOMA CITY STATE: OK ZIP: 73134 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2016-11-07 0 0001272597 Foundation Healthcare, Inc. FDNH 0001690415 Bynum Justin 13900 N. PORTLAND AVENUE, SUITE 200 OKLAHOMA CITY OK 73134 0 1 0 0 Chief Financial Officer No securities are beneficially owned 0 D /s/ Justin Bynum 2016-11-17