0001718392-19-000002.txt : 20191015 0001718392-19-000002.hdr.sgml : 20191015 20191015131344 ACCESSION NUMBER: 0001718392-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20191015 DATE AS OF CHANGE: 20191015 EFFECTIVENESS DATE: 20191015 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Natural State Medical Group, Inc. CENTRAL INDEX KEY: 0001718392 IRS NUMBER: 822172664 STATE OF INCORPORATION: AR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-351018 FILM NUMBER: 191150469 BUSINESS ADDRESS: STREET 1: 5201 NORTHSHORE DRIVE CITY: NORTH LITTLE ROCK STATE: AR ZIP: 72118 BUSINESS PHONE: 501-690-2855 MAIL ADDRESS: STREET 1: 5201 NORTHSHORE DRIVE CITY: NORTH LITTLE ROCK STATE: AR ZIP: 72118 D 1 primary_doc.xml X0708 D LIVE 0001718392 Natural State Medical Group, Inc. 5201 NORTHSHORE DRIVE NORTH LITTLE ROCK AR ARKANSAS 72118 501-690-2855 ARKANSAS None None Corporation true 2017 James Adametz 17 Paradise Lane Little Rock AR ARKANSAS 72223 Executive Officer Director Promoter Zada Adametz 17 Paradise Lane Little Rock AR ARKANSAS 72223 Executive Officer Director Julia Hart 64 Chenal Circle Little Rock AR ARKANSAS 72223 Director Tommy Ives 1678 South Moore Road Hot Springs AR ARKANSAS 71913 Executive Officer Director Mel Collazo 14015 Belle Pointe Drive Little Rock AR ARKANSAS 72212 Director Agriculture No Revenues 06b 4a5 false 2019-10-14 false true false 0 None None None None 5201 Northshore Drive North Little Rock AR ARKANSAS 72118 AR ARKANSAS false 900000 900000 0 This is additional offering only to existing shareholders true 0 5 0 0 0 false Natural State Medical Group, Inc. S Graham Catlett S Graham Catlett Attorney under Power of Attorney 2019-10-15