# ushealthrecord, inc. — Form D

ushealthrecord, inc. of FAYETTEVILLE, AR, a company, filed a Form D exempt-offering notice with the SEC on 2009-09-28. The offering totals $4.0M, of which $505K was reported sold. Industry: Other Health Care.

## Offering

- Filed: 2009-09-28
- Form: D
- Accession: 0001471544-09-000003
- Industry: Other Health Care
- Exemptions: 06
- Total offering: $4.0M
- Amount sold: $505K
- Remaining: $3.5M
- Minimum investment: $50K
- Investors: 5
- Date of first sale: 2009-07-24
- Security types: equity
- Revenue range: $1 - $1,000,000
- SEC file number: 021-134152

## Issuer

- Name: ushealthrecord, inc.
- CIK: 0001471544
- Entity type: Corporation
- Jurisdiction: DELAWARE
- Address: 4058 N. COLLEGE AVENUE, FAYETTEVILLE, AR, 72703
- Phone: 479-935-4511

## Officers, directors & promoters (20)

| Name | Role | Location |
| --- | --- | --- |
| James Lewis | Executive Officer | George Town, Grand Cayman, E9 |
| JEFF AMERINE | Director | Conway, AR |
| Scott Bailey | Director | San Ramon, CA |
| Jim Phillips | Director | Magnolia, AR |
| Richard Roblee | Director | Fayetteville, AR |
| Richard Roblee | Executive Officer | Fayetteville, AR |
| Larry Wiley | Executive Officer | Fayetteville, AR |
| Joe Roblee | Executive Officer | Fayetteville, AR |
| Gary Baker | Director | Ann Arbor, MI |
| Tony Sherman | Director | Fayetteville, AR |
| Scott L Bolding | Director | Fayetteville, AR |
| Scott L Bolding | Executive Officer | Fayetteville, AR |
| Richard D Roblee | Director | Fayetteville, AR |
| Larry D Templeton | Executive Officer | Fayetteville, AR |
| Tony D Sherman | Director | Fayetteville, AR |
| Jim D Holder | Executive Officer | Fayetteville, AR |
| Mark D McQueen | Director | Fayetteville, AR |
| Mark D McQueen | Executive Officer | Fayetteville, AR |
| Joseph M Roblee | Executive Officer | Fayetteville, AR |
| Melissa W Acoach | Executive Officer | Fayetteville, AR |

## Other filings by this issuer (9)

| Filed | Form | Offering | Sold |
| --- | --- | --- | --- |
| [2015-10-30](https://search.stillhousedata.com/formd/0001471544-15-000001) | D | — | — |
| [2012-06-21](https://search.stillhousedata.com/formd/0001471544-12-000001) | D | — | $25K |
| [2011-08-18](https://search.stillhousedata.com/formd/0001471544-11-000002) | D | — | — |
| [2011-03-16](https://search.stillhousedata.com/formd/0001471544-11-000001) | D | $5.0M | $305K |
| [2010-07-08](https://search.stillhousedata.com/formd/0001471544-10-000005) | D/A | $4.0M | $2.2M |
| [2010-07-08](https://search.stillhousedata.com/formd/0001471544-10-000004) | D/A | $4.0M | $2.2M |
| [2010-01-13](https://search.stillhousedata.com/formd/0001471544-10-000003) | D/A | $4.0M | $1.8M |
| [2009-10-14](https://search.stillhousedata.com/formd/0001471544-09-000005) | D/A | $4.0M | $505K |
| [2009-09-03](https://search.stillhousedata.com/formd/0001471544-09-000002) | D | $3.0M | $106K |

## More

- [CIK 1471544 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1471544&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001471544-09-000003.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

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