0001140361-16-057608.txt : 20160314
0001140361-16-057608.hdr.sgml : 20160314
20160314153328
ACCESSION NUMBER: 0001140361-16-057608
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160309
FILED AS OF DATE: 20160314
DATE AS OF CHANGE: 20160314
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: 14000 N. PORTLAND AVENUE
STREET 2: SUITE 200
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73134
BUSINESS PHONE: 4056015300
MAIL ADDRESS:
STREET 1: 14000 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: MICHAUD THOMAS A
CENTRAL INDEX KEY: 0001582857
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34171
FILM NUMBER: 161503664
MAIL ADDRESS:
STREET 1: C/O GRAYMARK HEALTHCARE, INC.
STREET 2: 204 N. ROBINSON AVE., SUITE 400
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73102
4
1
doc1.xml
FORM 4
X0306
4
2016-03-09
0
0001272597
Foundation Healthcare, Inc.
FDNH
0001582857
MICHAUD THOMAS A
14000 N. PORTLAND AVE., SUITE 200
OKLAHOMA CITY
OK
73134
1
1
0
0
Chairman of the Board
Common Stock
2016-03-09
4
A
0
55263
3.80
A
55513
D
Common Stock
2016-03-09
4
F
0
25220
3.80
D
30293
D
MARK KIDD, Attorney-in-Fact
2016-03-14