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