0001620050-14-000001.txt : 20140922 0001620050-14-000001.hdr.sgml : 20140922 20140922092419 ACCESSION NUMBER: 0001620050-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140922 DATE AS OF CHANGE: 20140922 EFFECTIVENESS DATE: 20140922 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Clinic 21 Management Group, LLC CENTRAL INDEX KEY: 0001620050 IRS NUMBER: 464991651 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-225071 FILM NUMBER: 141113170 BUSINESS ADDRESS: STREET 1: 4535 DRESSLER ROAD, NW CITY: CANTON STATE: OH ZIP: 44718 BUSINESS PHONE: 330-493-4443 MAIL ADDRESS: STREET 1: 4535 DRESSLER ROAD, NW CITY: CANTON STATE: OH ZIP: 44718 D 1 primary_doc.xml X0707 D LIVE 0001620050 Clinic 21 Management Group, LLC 4535 DRESSLER ROAD, NW CANTON OH OHIO 44718 330-493-4443 DELAWARE None None Limited Liability Company true 2014 David L Scott 4535 Dressler Road, NW Canton OH OHIO 44718 Director Manager Thomas Zyniewicz 4535 Dressler Road, NW Canton OH OHIO 44718 Executive Officer Other Health Care Decline to Disclose 06b false 2014-09-10 false true false 0 2000000 500000 1500000 false 1 0 0 0 true false Clinic 21 Management Group, LLC /s/ David L. Scott David L. Scott Manager 2014-09-22