0001655393-20-000005.txt : 20200124 0001655393-20-000005.hdr.sgml : 20200124 20200124141037 ACCESSION NUMBER: 0001655393-20-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200124 DATE AS OF CHANGE: 20200124 EFFECTIVENESS DATE: 20200124 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pinnacle Integrated Medicine, Inc. CENTRAL INDEX KEY: 0001655393 IRS NUMBER: 474933829 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-358899 FILM NUMBER: 20544805 BUSINESS ADDRESS: STREET 1: P.O. BOX 2008 CITY: BOISE STATE: ID ZIP: 83701 BUSINESS PHONE: 208-559-1301 MAIL ADDRESS: STREET 1: P.O. BOX 2008 CITY: BOISE STATE: ID ZIP: 83701 D 1 primary_doc.xml X0708 D LIVE 0001655393 Pinnacle Integrated Medicine, Inc. 1900 Northwest Boulevard Suite 106A Coeur d'Alene ID IDAHO 83814 208-559-1301 IDAHO None None Corporation true Jason Haugen PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Brandon Ousley PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Aaron Brown PO Box 2008 Boise ID IDAHO 83701 Director Mikael Lagwinski PO Box 2008 Boise ID IDAHO 83701 Director Ray Robinson PO Box 2008 Boise ID IDAHO 83701 Director Thad Woodard PO Box 2008 Boise ID IDAHO 83701 Director Craig Hinkle PO Box 2008 Boise ID IDAHO 83701 Director Cindy Alkire PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Leigh Ann Woodard PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Mike Neitzel PO Box 2008 Boise ID IDAHO 83701 Director Dan Trube PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Jennifer Adams PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Suzanne Lowman PO Box 2008 Boise ID IDAHO 83701 Executive Officer Other Health Care Decline to Disclose 06b false 2019-12-28 false true false 0 N/A None None None N/A N/A ID IDAHO 8381 ID IDAHO false 924000 0 924000 false 1 0 0 0 false Pinnacle Integrated Medicine, Inc. Jason Haugen Jason Haugen President 2020-01-24