0001692070-17-000001.txt : 20170105 0001692070-17-000001.hdr.sgml : 20170105 20170105111719 ACCESSION NUMBER: 0001692070-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170105 DATE AS OF CHANGE: 20170105 EFFECTIVENESS DATE: 20170105 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Integrated Health Systems Holdings, LLC CENTRAL INDEX KEY: 0001692070 IRS NUMBER: 813335978 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-277661 FILM NUMBER: 17509440 BUSINESS ADDRESS: STREET 1: 353 NORTH CLARK STREET CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: 3125956540 MAIL ADDRESS: STREET 1: 353 NORTH CLARK STREET CITY: CHICAGO STATE: IL ZIP: 60654 D 1 primary_doc.xml X0707 D LIVE 0001692070 Integrated Health Systems Holdings, LLC 353 NORTH CLARK STREET CHICAGO IL ILLINOIS 60654 3125956540 DELAWARE None None Limited Liability Company true 2016 Michael Simon 353 North Clark Street Chicago IL ILLINOIS 60654 Executive Officer Director Other Decline to Disclose 06b false 2016-12-21 false true false 10000 5800000 5070631 729369 false 36 0 0 0 false Integrated Health Systems Holdings, LLC /s/ Michael Simon Michael Simon President 2017-01-05