0001104659-12-006066.txt : 20120202 0001104659-12-006066.hdr.sgml : 20120202 20120202095455 ACCESSION NUMBER: 0001104659-12-006066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111117 FILED AS OF DATE: 20120202 DATE AS OF CHANGE: 20120202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chafoulias Gus A CENTRAL INDEX KEY: 0001346641 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31275 FILM NUMBER: 12564657 MAIL ADDRESS: STREET 1: 121 23RD AVENUE SW CITY: ROCHESTER STATE: MN ZIP: 55902 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VERTICAL HEALTH SOLUTIONS INC CENTRAL INDEX KEY: 0001163332 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 593635262 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7760 FRANCE AVE SOUTH STREET 2: 11TH FLOOR CITY: MINNEAPOLIS STATE: MN ZIP: 55435 BUSINESS PHONE: 612-568-4210 MAIL ADDRESS: STREET 1: 7760 FRANCE AVE SOUTH STREET 2: 11TH FLOOR CITY: MINNEAPOLIS STATE: MN ZIP: 55435 4 1 a4.xml 4 X0304 4 2011-11-17 0 0001163332 VERTICAL HEALTH SOLUTIONS INC ONMD 0001346641 Chafoulias Gus A C/O VERTICAL HEALTH SOLUTIONS, INC. 7760 FRANCE AVENUE SOUTH, 11TH FLOOR MINNEAPOLIS MN 55435 1 0 0 0 Common Stock, par value $0.001 per share 2011-11-17 4 P 0 10000 A 870000 D Common Stock Warrant (right to buy) 2.00 2011-11-17 4 P 0 5000 A 2011-11-17 2016-11-17 Common Stock, $0.001 par value 5000 5000 D The reported securities are included within 10,000 Units purchased by the reporting person for $1.00 per Unit. Each Unit consists of one share of common stock and one warrant to purchase 0.5 shares of common stock. /s/ William Cavanaugh (attorney-in-fact) 2012-02-02