0001193125-13-089887.txt : 20130304 0001193125-13-089887.hdr.sgml : 20130304 20130304172056 ACCESSION NUMBER: 0001193125-13-089887 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20130304 EFFECTIVENESS DATE: 20130304 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GULF SOUTH MEDICAL SUPPLY INC CENTRAL INDEX KEY: 0000889885 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 640831411 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-18 FILM NUMBER: 13662783 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 9043323000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PSS SERVICE INC CENTRAL INDEX KEY: 0001048992 IRS NUMBER: 593448733 STATE OF INCORPORATION: FL FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-02 FILM NUMBER: 13662774 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 9043323000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PHYSICIAN SALES & SERVICE LTD PARTNERSHIP CENTRAL INDEX KEY: 0001049002 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 593475763 FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-06 FILM NUMBER: 13662777 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 9043323000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PSS HOLDING INC CENTRAL INDEX KEY: 0001049003 IRS NUMBER: 593524572 FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-03 FILM NUMBER: 13662766 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: 9043323000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BLVD CITY: JACKSONVILLE STATE: FL ZIP: 32256 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BLUE MEDICAL SUPPLY INC CENTRAL INDEX KEY: 0001369441 IRS NUMBER: 204813472 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-27 FILM NUMBER: 13662792 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DS HOLDINGS INC CENTRAL INDEX KEY: 0001376726 IRS NUMBER: 330970543 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-21 FILM NUMBER: 13662786 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ancillary Management Solutions, Inc. CENTRAL INDEX KEY: 0001552301 IRS NUMBER: 621833333 STATE OF INCORPORATION: TN FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-28 FILM NUMBER: 13662793 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BottomLine Medical Solutions, LLC CENTRAL INDEX KEY: 0001552302 IRS NUMBER: 453024358 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-26 FILM NUMBER: 13662791 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rebel Distributors Corp. CENTRAL INDEX KEY: 0001552303 IRS NUMBER: 953903621 STATE OF INCORPORATION: CA FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-01 FILM NUMBER: 13662773 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Scrip Pak, LLC CENTRAL INDEX KEY: 0001552304 IRS NUMBER: 273330548 STATE OF INCORPORATION: FL FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-16 FILM NUMBER: 13662772 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cascade Medical Supply, Inc. CENTRAL INDEX KEY: 0001552305 IRS NUMBER: 900036192 STATE OF INCORPORATION: WA FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-25 FILM NUMBER: 13662790 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ClaimOne, LLC CENTRAL INDEX KEY: 0001552306 IRS NUMBER: 900608013 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-24 FILM NUMBER: 13662789 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dispensing Solutions Acquisition Corp. CENTRAL INDEX KEY: 0001552307 IRS NUMBER: 330964486 STATE OF INCORPORATION: CA FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-23 FILM NUMBER: 13662788 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dispensing Solutions, Inc. CENTRAL INDEX KEY: 0001552308 IRS NUMBER: 330953266 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-22 FILM NUMBER: 13662787 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DSRx, Inc. CENTRAL INDEX KEY: 0001552309 IRS NUMBER: 330967919 STATE OF INCORPORATION: CA FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-20 FILM NUMBER: 13662785 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Federal Medical Supplies, Inc. CENTRAL INDEX KEY: 0001552310 IRS NUMBER: 581835450 STATE OF INCORPORATION: GA FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-19 FILM NUMBER: 13662784 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Infolab, LLC CENTRAL INDEX KEY: 0001552311 IRS NUMBER: 455122506 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-17 FILM NUMBER: 13662782 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Keltman Pharmaceuticals, Inc. CENTRAL INDEX KEY: 0001552312 IRS NUMBER: 830367171 STATE OF INCORPORATION: MS FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-09 FILM NUMBER: 13662781 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Linear Holdings, LLC CENTRAL INDEX KEY: 0001552313 IRS NUMBER: 800641389 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-08 FILM NUMBER: 13662780 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Linear Medical Solutions, LLC CENTRAL INDEX KEY: 0001552314 IRS NUMBER: 900608024 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-07 FILM NUMBER: 13662779 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Stat Rx USA, LLC CENTRAL INDEX KEY: 0001552315 IRS NUMBER: 800641379 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-15 FILM NUMBER: 13662771 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: POC Management Group, LLC CENTRAL INDEX KEY: 0001552316 IRS NUMBER: 202189785 STATE OF INCORPORATION: CA FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-05 FILM NUMBER: 13662776 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ProClaim, Inc. CENTRAL INDEX KEY: 0001552317 IRS NUMBER: 621524115 STATE OF INCORPORATION: TN FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-04 FILM NUMBER: 13662775 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: World Medical Government Solutions, LLC CENTRAL INDEX KEY: 0001552318 IRS NUMBER: 454365099 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-13 FILM NUMBER: 13662768 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ThriftyMed, Inc. CENTRAL INDEX KEY: 0001552319 IRS NUMBER: 593498715 STATE OF INCORPORATION: FL FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-14 FILM NUMBER: 13662769 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WorldMed Shared Services, Inc. CENTRAL INDEX KEY: 0001552320 IRS NUMBER: 320110790 STATE OF INCORPORATION: FL FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-12 FILM NUMBER: 13662767 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Theratech, Inc. CENTRAL INDEX KEY: 0001552374 IRS NUMBER: 621649802 STATE OF INCORPORATION: TN FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-11 FILM NUMBER: 13662770 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Physician Sales & Service, Inc. CENTRAL INDEX KEY: 0001552375 IRS NUMBER: 593500395 STATE OF INCORPORATION: FL FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-182178-10 FILM NUMBER: 13662778 BUSINESS ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-332-3000 MAIL ADDRESS: STREET 1: 4345 SOUTHPOINT BOULEVARD CITY: JACKSONVILLE STATE: FL ZIP: 32216 15-15D 1 d494926d1515d.htm 15-15D 15-15D

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 15

 

 

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION

UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934

OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934.

Commission File Number: 333-182178-03*

 

 

PSS HOLDING, INC.*

(Exact name of registrant as specified in its charter)

 

 

4345 Southpoint Blvd.

Jacksonville, Florida 32216

Telephone: (904) 332-3000

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Guarantees of 6.375% Senior Notes due 2022

(Title of each class of securities covered by this Form)

N/A

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

 

 

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

 

Rule 12g-4(a)(1)    ¨
Rule 12g-4(a)(2)    ¨
Rule 12h-3(b)(1)(i)    x
Rule 12h-3(b)(1)(ii)    ¨
Rule 15d-6    ¨

Approximate number of holders of record as of the certification or notice date:

 

Guarantees of 6.375% Senior Notes due 2022:

      0   

 

* Additional file numbers and registrants to which this notice on Form 15 relates are set forth in the table of additional registrants below.

TABLE OF ADDITIONAL REGISTRANTS

 

Exact name of registrant as specified in its charter

    Commission File Number

Ancillary Management Solutions, Inc.

    333-182178-28

Blue Medical Supply, Inc.

    333-182178-27

BottomLine Medical Solutions, LLC

    333-182178-26

Cascade Medical Supply, Inc.

    333-182178-25

ClaimOne, LLC

    333-182178-24

Dispensing Solutions Acquisition Corp.

    333-182178-23

Dispensing Solutions, Inc.

    333-182178-22

DS Holdings, Inc.

    333-182178-21

DSRx, Inc.

    333-182178-20

Federal Medical Supplies, Inc.

    333-182178-19

Gulf South Medical Supply, Inc.

    333-182178-18

Infolab, LLC

    333-182178-17

Keltman Pharmaceuticals, Inc.

    333-182178-09

Linear Holdings, LLC

    333-182178-08

Linear Medical Solutions, LLC

    333-182178-07

Physician Sales & Service, Inc.

    333-182178-10

Physician Sales & Service Limited Partnership

    333-182178-06

POC Management Group, LLC

    333-182178-05

ProClaim, Inc.

    333-182178-04

PSS Holding, Inc.

    333-182178-03

PSS Service, Inc.

    333-182178-02

Rebel Distributors Corp.

    333-182178-01

Scrip Pak, LLC

    333-182178-16

Stat Rx USA, LLC

    333-182178-15

Theratech, Inc.

    333-182178-11

ThriftyMed, Inc.

    333-182178-14

World Medical Government Solutions, LLC

    333-182178-13

WorldMed Shared Services, Inc.

    333-182178-12

The address, including zip code, and telephone number, including area code, of the principal offices of each of the additional registrants listed above is: 4345 Southpoint Boulevard, Jacksonville, Florida, 32216 and the telephone number at that address is (904) 332-3000.

 

 

 

Pursuant to the requirements of the Securities Exchange Act of 1934, each of the registrants listed below has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

 

     

Ancillary Management Solutions, Inc.

Blue Medical Supply, Inc.

BottomLine Medical Solutions, LLC

Cascade Medical Supply, Inc.

ClaimOne, LLC

Dispensing Solutions Acquisition Corp.

Dispensing Solutions, Inc.

DS Holdings, Inc.

DSRx, Inc.

Federal Medical Supplies, Inc.

Gulf South Medical Supply, Inc.

Infolab, LLC

Keltman Pharmaceuticals, Inc.

Linear Holdings, LLC

Linear Medical Solutions, LLC

Physician Sales & Service, Inc.

Physician Sales & Service Limited Partnership

POC Management Group, LLC

ProClaim, Inc.

PSS Holding, Inc.

PSS Service, Inc.

Rebel Distributors Corp.

Scrip Pak, LLC

Stat Rx USA, LLC

Theratech, Inc.

ThriftyMed, Inc.

World Medical Government Solutions, LLC

WorldMed Shared Services, Inc.

Date:  

March 4, 2013

     By:  

/s/ Willie C. Bogan

        Name:   Willie C. Bogan
        Title:   Vice President and Secretary