0001575705-17-000042.txt : 20170310 0001575705-17-000042.hdr.sgml : 20170310 20170310152707 ACCESSION NUMBER: 0001575705-17-000042 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170310 DATE AS OF CHANGE: 20170310 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: First Choice Healthcare Solutions, Inc. CENTRAL INDEX KEY: 0001416876 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 900687379 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 709 S. HARBOR CITY BLVD. STREET 2: SUITE 250 CITY: MELBOURNE STATE: FL ZIP: 32901 BUSINESS PHONE: (321) 725-0090 MAIL ADDRESS: STREET 1: 709 S. HARBOR CITY BLVD. STREET 2: SUITE 250 CITY: MELBOURNE STATE: FL ZIP: 32901 FORMER COMPANY: FORMER CONFORMED NAME: Medical Billing Assistance, Inc. DATE OF NAME CHANGE: 20110107 FORMER COMPANY: FORMER CONFORMED NAME: Medical Billing Assistance Inc DATE OF NAME CHANGE: 20071030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bittar Donald A CENTRAL INDEX KEY: 0001507595 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53012 FILM NUMBER: 17681931 MAIL ADDRESS: STREET 1: 709 SOUTH HARBOR CITY BOULEVARD STREET 2: SUITE 250 CITY: MELBOURNE STATE: FL ZIP: 32901 5 1 bittar_5.xml OWNERSHIP DOCUMENT X0306 5 2016-12-31 0 0 0 0001416876 First Choice Healthcare Solutions, Inc. FCHS 0001507595 Bittar Donald A 709 SOUTH HARBOR CITY BOULEVARD SUITE 250 MELBOURNE FL 32901 1 0 0 0 Common Stock 456666 D Common Stock 160000 I By Wife Shares are owned by Mr. Bittar's wife, and the reporting person disclaims beneficial ownership of these shares. /s/ Donald A. Bittar 2017-02-14