0001015325-19-000005.txt : 20190325 0001015325-19-000005.hdr.sgml : 20190325 20190325162615 ACCESSION NUMBER: 0001015325-19-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190325 DATE AS OF CHANGE: 20190325 EFFECTIVENESS DATE: 20190325 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Innovative Long Term Care Management, Inc. CENTRAL INDEX KEY: 0001771454 IRS NUMBER: 812203173 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-335611 FILM NUMBER: 19702950 BUSINESS ADDRESS: STREET 1: 10900 NUCKOLS ROAD STREET 2: SUITE 110 CITY: GLEN ALLEN STATE: VA ZIP: 23060 BUSINESS PHONE: 804-729-3323 MAIL ADDRESS: STREET 1: 10900 NUCKOLS ROAD STREET 2: SUITE 110 CITY: GLEN ALLEN STATE: VA ZIP: 23060 D 1 primary_doc.xml X0708 D LIVE 0001771454 Innovative Long Term Care Management, Inc. 10900 NUCKOLS ROAD SUITE 110 GLEN ALLEN VA VIRGINIA 23060 804-729-3323 DELAWARE None None Corporation true 2016 Will Saunders c/o Innovative Long Term Care Management 10900 Nuckols Road, Suite 110 Glen Allen VA VIRGINIA 23060 Executive Officer Director Robert B Schulz c/o Innovative Long Term Care Management 10900 Nuckols Road, Suite 110 Glen Allen VA VIRGINIA 23060 Director Paul Wallace c/o Innovative Long Term Care Management 10900 Nuckols Road, Suite 110 Glen Allen VA VIRGINIA 23060 Director William Lucia c/o Innovative Long Term Care Management 10900 Nuckols Road, Suite 110 Glen Allen VA VIRGINIA 23060 Director Kenneth Paulus c/o Innovative Long Term Care Management 10900 Nuckols Road, Suite 110 Glen Allen VA VIRGINIA 23060 Director Peter Tedesco c/o Innovative Long Term Care Management 10900 Nuckols Road, Suite 110 Glen Allen VA VIRGINIA 23060 Director Julianne Hug c/o Innovative Long Term Care Management 10900 Nuckols Road, Suite 110 Glen Allen VA VIRGINIA 23060 Executive Officer Other Health Care Decline to Disclose 06b false 2019-03-12 false true false 0 TripleTree, LLC 42820 None None 3600 Minnesota Drive Suite 200 Edina MN MINNESOTA 55435 UT UTAH VA VIRGINIA NY NEW YORK NJ NEW JERSEY GA GEORGIA OH OHIO TN TENNESSEE FL FLORIDA CA CALIFORNIA false 10000001 10000001 0 false 10 631287 0 0 false Innovative Long Term Care Management, Inc. /s/ Will Saunders Will Saunders Chief Executive Officer and President 2019-03-25