# Medical Referral Source, Inc. — Form D

Medical Referral Source, Inc. of TUCSON, AZ, a company, filed a Form D exempt-offering notice with the SEC on 2011-04-28. The offering totals $750K, of which $255K was reported sold. Industry: Other Health Care.

## Offering

- Filed: 2011-04-28
- Form: D
- Accession: 0001516521-11-000001
- Industry: Other Health Care
- Exemptions: 06
- Total offering: $750K
- Amount sold: $255K
- Remaining: $495K
- Minimum investment: $10K
- Investors: 7
- Date of first sale: 2011-02-22
- Security types: debt
- Revenue range: $1 - $1,000,000
- SEC file number: 021-159040

## Issuer

- Name: Medical Referral Source, Inc.
- CIK: 0001516521
- Entity type: Corporation
- Jurisdiction: DELAWARE
- Incorporated: 2010
- Address: 1202 EAST BROADWAY #104, TUCSON, AZ, 85719
- Phone: 520-906-4876

## Officers, directors & promoters (15)

| Name | Role | Location |
| --- | --- | --- |
| Colleen Cutshaw | Director | Tucson, AZ |
| Troy Hollar | Director | Tucson, AZ |
| Cindy Jordan-Nowe | Director | Tucson, AZ |
| Leslie Perls | Director | Tucson, AZ |
| Anne Sarabia | Director | Tucson, AZ |
| Colleen Cutshaw | Executive Officer | Tucson, AZ |
| Kirk Saunders | Director | Tucson, AZ |
| Jean Tkachyk | Director | Tucson, AZ |
| Jean Tkachyk | Executive Officer | Tucson, AZ |
| Larry Mehren | Director | Tucson, AZ |
| James Peebles | Director | Tucson, AZ |
| James Peebles | Executive Officer | Tucson, AZ |
| Colleen Tierney-Cutshaw | Director | Tucson, AZ |
| Colleen Tierney-Cutshaw | Executive Officer | Tucson, AZ |
| Cindy Jordan | Director | Tucson, AZ |

## Other filings by this issuer (2)

| Filed | Form | Offering | Sold |
| --- | --- | --- | --- |
| [2012-05-25](https://search.stillhousedata.com/formd/0001516521-12-000002) | D/A | $2.5M | $1.7M |
| [2012-01-10](https://search.stillhousedata.com/formd/0001516521-12-000001) | D | $1.9M | $399K |

## More

- [CIK 1516521 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1516521&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001516521-11-000001.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

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