0001617540-15-000002.txt : 20151117 0001617540-15-000002.hdr.sgml : 20151117 20151117104122 ACCESSION NUMBER: 0001617540-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20151117 DATE AS OF CHANGE: 20151117 EFFECTIVENESS DATE: 20151117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Genesis Innovation Group, LLC CENTRAL INDEX KEY: 0001617540 IRS NUMBER: 464242455 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-251361 FILM NUMBER: 151237331 BUSINESS ADDRESS: STREET 1: 9575 NEVADA TRAIL CITY: MISSOULA STATE: MT ZIP: 59808 BUSINESS PHONE: 574-253-1133 MAIL ADDRESS: STREET 1: 9575 NEVADA TRAIL CITY: MISSOULA STATE: MT ZIP: 59808 D 1 primary_doc.xml X0707 D LIVE 0001617540 Genesis Innovation Group, LLC 9575 NEVADA TRAIL MISSOULA MT MONTANA 59808 574-253-1133 DELAWARE None None Limited Liability Company true 2013 Donald Running 9575 Nevada Trail Missoula MT MONTANA 59808 Executive Officer Director Promoter Chief Executive Officer Jeffrey Ondrla 4337 E 375 N Warsaw IN INDIANA 46538 Executive Officer Director Promoter Chief Technology Officer Robert Ball 9912 Beach Ridge Court West Olive MI MICHIGAN 49460 Executive Officer Director Promoter Chairman of the Board R. Sean Churchill 7449 Ridgeview Dr. Mequon WI WISCONSIN 53092 Director Chief Medical Officer Matthew Ahearn 135 W. 12th St. Holland MI MICHIGAN 49423 Executive Officer Chief Financial Officer Biotechnology No Revenues 06b 4a5 false 2015-11-04 false true false 25000 1000006 100000 900006 false 1 0 0 200000 true false Genesis Innovation Group, LLC Donald Running Donald Running CEO 2015-11-17