0001477932-14-007083.txt : 20141216 0001477932-14-007083.hdr.sgml : 20141216 20141216060123 ACCESSION NUMBER: 0001477932-14-007083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141212 FILED AS OF DATE: 20141216 DATE AS OF CHANGE: 20141216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fuse Medical, Inc. CENTRAL INDEX KEY: 0000319016 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 591224913 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4770 BRYANT IRVIN COURT STREET 2: SUITE 300 CITY: FORT WORTH STATE: TX ZIP: 76107 BUSINESS PHONE: 817-439-7025 MAIL ADDRESS: STREET 1: 4770 BRYANT IRVIN COURT STREET 2: SUITE 300 CITY: FORT WORTH STATE: TX ZIP: 76107 FORMER COMPANY: FORMER CONFORMED NAME: GOLF ROUNDS COM INC DATE OF NAME CHANGE: 19991126 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN METALS SERVICE INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Meeker D Alan CENTRAL INDEX KEY: 0001609993 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10093 FILM NUMBER: 141288259 MAIL ADDRESS: STREET 1: 4770 BRYANT IRVIN COURT STREET 2: SUITE 400 CITY: FORT WORTH STATE: TX ZIP: 76107 4 1 form4.xml FORM 4 X0306 4 2014-12-12-07:00 false 0000319016 Fuse Medical, Inc. FZMD 0001609993 Meeker D Alan 4770 BRYANT IRVIN COURT SUITE 400 FORT WORTH TX 76107 true true true false Chief Executive Officer Common Stock 2014-12-12-07:00 4 P false 100 1.25 A 542100 I By ShennaCo Investment Corporation, Inc. Common Stock 2014-12-15-07:00 4 P false 100 1.25 A 542200 I By ShennaCo Investment Corporation, Inc. Mr. Meeker is the President of ShennaCo Investment Corporation, Inc. and the sole stockholder is the David Alan Meeker Family Irrevocable Trust ("DAMFIT"). Mr. Meeker does not serve as a trustee nor is he a beneficiary of DAMFIT. /s/ D. Alan Meeker 2014-12-15-07:00