0001014108-19-000071.txt : 20190429
0001014108-19-000071.hdr.sgml : 20190429
20190429162504
ACCESSION NUMBER: 0001014108-19-000071
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190422
FILED AS OF DATE: 20190429
DATE AS OF CHANGE: 20190429
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sheehan Jeannine
CENTRAL INDEX KEY: 0001775188
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 19776248
MAIL ADDRESS:
STREET 1: 31700 RESEARCH PARK DRIVE
CITY: MADISON HEIGHTS
STATE: MI
ZIP: 48071
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: InfuSystem Holdings, Inc
CENTRAL INDEX KEY: 0001337013
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 203341405
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 31700 RESEARCH PARK DRIVE
CITY: MADISON HEIGHTS
STATE: MI
ZIP: 48071
BUSINESS PHONE: (248) 291-1210
MAIL ADDRESS:
STREET 1: 31700 RESEARCH PARK DRIVE
CITY: MADISON HEIGHTS
STATE: MI
ZIP: 48071
FORMER COMPANY:
FORMER CONFORMED NAME: HAPC, Inc.
DATE OF NAME CHANGE: 20060425
FORMER COMPANY:
FORMER CONFORMED NAME: Healthcare Acquisition Partners Corp.
DATE OF NAME CHANGE: 20050824
3
1
primary_doc.xml
PRIMARY DOCUMENT
X0206
3
2019-04-22
1
0001337013
InfuSystem Holdings, Inc
INFU
0001775188
Sheehan Jeannine
31700 RESEARCH PARK DRIVE
MADISON HEIGHTS
MI
48071
0
1
0
0
Chief Administrative Officer
/s/Jeannine Sheehan
2019-04-26