0001209191-11-035279.txt : 20110617 0001209191-11-035279.hdr.sgml : 20110617 20110617162709 ACCESSION NUMBER: 0001209191-11-035279 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110615 FILED AS OF DATE: 20110617 DATE AS OF CHANGE: 20110617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARRIERO EDWARD M JR CENTRAL INDEX KEY: 0001382262 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34171 FILM NUMBER: 11918730 MAIL ADDRESS: STREET 1: 595 SOUTH FEDERAL HIGHWAY STREET 2: SUITE 500 CITY: BOCA RATON STATE: FL ZIP: 33432 FORMER NAME: FORMER CONFORMED NAME: CARRIERO EDWARD DATE OF NAME CHANGE: 20061129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Graymark Healthcare, Inc. CENTRAL INDEX KEY: 0001272597 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 200180812 STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 N. ROBINSON STREET 2: SUITE 920 CITY: OKLAHOMA CITY STATE: OK ZIP: 73102 BUSINESS PHONE: 4056015300 MAIL ADDRESS: STREET 1: 101 N. ROBINSON STREET 2: SUITE 920 CITY: OKLAHOMA CITY STATE: OK ZIP: 73102 FORMER COMPANY: FORMER CONFORMED NAME: GRAYMARK PRODUCTIONS INC DATE OF NAME CHANGE: 20031210 4 1 c18896_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2011-06-15 0001272597 Graymark Healthcare, Inc. GRMH 0001382262 CARRIERO EDWARD M JR 210 PARK AVENUE SUITE 1350 OKLAHOMA CITY OK 73102 0 1 0 0 Chief Financial Officer Common Stock 2011-06-15 4 P 0 72000 A 72000 I By wife Common Stock Warrants (right to buy) 1.50 2011-06-15 4 P 0 72000 A 2011-06-20 2016-06-20 Common Stock 72000 72000 I By wife Each share of common stock was purchased together with a warrant to purchase one share of common stock at a public offering price of $1.40 per combination. /s/ Meredith Tipton, by power of attorney 2011-06-17