0001117768-12-000537.txt : 20121203 0001117768-12-000537.hdr.sgml : 20121203 20121203203604 ACCESSION NUMBER: 0001117768-12-000537 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121113 FILED AS OF DATE: 20121203 DATE AS OF CHANGE: 20121203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sheth Haresh C CENTRAL INDEX KEY: 0001338680 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35735 FILM NUMBER: 121238946 MAIL ADDRESS: STREET 1: 19 TULSA COURT CITY: MONMOUTH JUNCTION STATE: NJ ZIP: 08852 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ASSURED PHARMACY, INC. CENTRAL INDEX KEY: 0001100592 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 980233878 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2595 DALLAS PARKWAY STREET 2: SUITE 206 CITY: FRISCO STATE: TX ZIP: 75034 BUSINESS PHONE: 972-668-7394 MAIL ADDRESS: STREET 1: 2595 DALLAS PARKWAY STREET 2: SUITE 206 CITY: FRISCO STATE: TX ZIP: 75034 FORMER COMPANY: FORMER CONFORMED NAME: Assured Pharmacy, Inc. DATE OF NAME CHANGE: 20051026 FORMER COMPANY: FORMER CONFORMED NAME: ERXSYS INC DATE OF NAME CHANGE: 20030916 FORMER COMPANY: FORMER CONFORMED NAME: SURFORAMA COM INC DATE OF NAME CHANGE: 20001128 3 1 mainbody.xml APHY - H SHETH - FORM 3 - 11-13-2012