0001698887-19-000001.txt : 20191126 0001698887-19-000001.hdr.sgml : 20191126 20191126133130 ACCESSION NUMBER: 0001698887-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191126 DATE AS OF CHANGE: 20191126 EFFECTIVENESS DATE: 20191126 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Marblehead Medical LLC CENTRAL INDEX KEY: 0001698887 IRS NUMBER: 814254879 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-354269 FILM NUMBER: 191249481 BUSINESS ADDRESS: STREET 1: 753 FOX CHASE ROAD SW CITY: ROCHESTER STATE: MN ZIP: 55902 BUSINESS PHONE: 248-977-9168 MAIL ADDRESS: STREET 1: 753 FOX CHASE ROAD SW CITY: ROCHESTER STATE: MN ZIP: 55902 D 1 primary_doc.xml X0708 D LIVE 0001698887 Marblehead Medical LLC 753 FOX CHASE ROAD SW ROCHESTER MN MINNESOTA 55902 248-977-9168 MINNESOTA None None Limited Liability Company true 2016 David Kallmes 753 Fox Chase Road SW Rochester MN MINNESOTA 55902 Executive Officer Director Waleed Brinjikji 753 Fox Chase Road SW Rochester MN MINNESOTA 55902 Executive Officer Director Keith Kallmes 1430 Avon St. North St. Paul MN MINNESOTA 55117 Executive Officer Keith Kallmes 1430 Avon St. North St. Paul MN MINNESOTA 55117 Executive Officer Other Health Care Decline to Disclose 06b false 2019-10-22 false true false 50000 1000000 600000 400000 false 9 0 0 100000 true false Marblehead Medical LLC John T. Roberts John T. Roberts Legal Counsel to Issuer 2019-11-26