0001493152-14-002681.txt : 20140821 0001493152-14-002681.hdr.sgml : 20140821 20140821134134 ACCESSION NUMBER: 0001493152-14-002681 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140812 FILED AS OF DATE: 20140821 DATE AS OF CHANGE: 20140821 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Targeted Medical Pharma, Inc. CENTRAL INDEX KEY: 0001420030 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 205863618 FISCAL YEAR END: 1209 BUSINESS ADDRESS: STREET 1: 2980 BEVERLY GLEN CIRCLE STREET 2: SUITE 301 CITY: LOS ANGELES STATE: CA ZIP: 90077 BUSINESS PHONE: 310-474-9809 MAIL ADDRESS: STREET 1: 2980 BEVERLY GLEN CIRCLE STREET 2: SUITE 301 CITY: LOS ANGELES STATE: CA ZIP: 90077 FORMER COMPANY: FORMER CONFORMED NAME: AFH Acquisition III, Inc. DATE OF NAME CHANGE: 20071203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elizabeth Charuvastra Exemption Trust CENTRAL INDEX KEY: 0001617554 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53071 FILM NUMBER: 141057277 BUSINESS ADDRESS: STREET 1: 2980 BEVERLY GLEN CIRCLE STREET 2: #310 CITY: LOS ANGELES STATE: CA ZIP: 90077 BUSINESS PHONE: 310-474-9809 MAIL ADDRESS: STREET 1: 2980 BEVERLY GLEN CIRCLE STREET 2: #310 CITY: LOS ANGELES STATE: CA ZIP: 90077 4 1 form4.xml OWNERSHIP DOCUMENT X0306 4 2014-08-12 0 0001420030 Targeted Medical Pharma, Inc. TRGM 0001617554 Elizabeth Charuvastra Exemption Trust C/O TARGETED MEDICAL PHARMA, INC. 2980 BEVERLY GLEN CIRCLE, SUITE 301 LOS ANGELES CA 90077 1 1 1 0 CEO & Chief Scientific Officer Common Stock 2014-08-12 4 S 0 101035 0.40 D 295473 I By Trust Cormmon stock held by Elizabeth Charuvastra Exemption Trust. William E. Shell, Trustee, is filing on behalf of the Elizabeth Charuvastra Exemption Trust and disclaims any and all pecuniary interest in the Elizabeth Charuvastra Exemption Trust. /s/ Dr. William Shell 2014-08-21