0001571030-15-000005.txt : 20151222 0001571030-15-000005.hdr.sgml : 20151222 20151222172856 ACCESSION NUMBER: 0001571030-15-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151222 DATE AS OF CHANGE: 20151222 EFFECTIVENESS DATE: 20151222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Brain Synergy Institute, LLC CENTRAL INDEX KEY: 0001571030 IRS NUMBER: 455533423 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-253681 FILM NUMBER: 151303611 BUSINESS ADDRESS: STREET 1: P.O. BOX 1965 CITY: COPPELL STATE: TX ZIP: 75019 BUSINESS PHONE: (877) 680-8470 MAIL ADDRESS: STREET 1: P.O. BOX 1965 CITY: COPPELL STATE: TX ZIP: 75019 D 1 primary_doc.xml X0707 D LIVE 0001571030 Brain Synergy Institute, LLC 105 Decker Court Suite 120 Irving TX TEXAS 75062 2147718885 TEXAS KCBR, LLC None Limited Liability Company true 2012 Kenneth C. Beam 105 Decker Court Suite 120 Irving TX TEXAS 75062 Director Manager Darla Beam 105 Decker Court Suite 120 Irving TX TEXAS 75062 Director Manager David Livon 105 Decker Court Suite 120 Irving TX TEXAS 75062 Director Manager Louis Paletta 105 Decker Court Suite 120 Irving TX TEXAS 75062 Director Manager Gary C. Randall 105 Decker Court Suite 120 Irving TX TEXAS 75062 Director Manager Jimmy Mathews 105 Decker Court Suite 120 Irving TX TEXAS 75062 Executive Officer President and Chief Operating Officer Other Health Care Decline to Disclose 06b false 2015-12-11 false true true false 0 850000 160000 690000 false 4 0 0 0 false Brain Synergy Institute, LLC Kenneth C. Beam Kenneth C. Beam Manager 2015-12-22