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