0001015325-19-000017.txt : 20190711
0001015325-19-000017.hdr.sgml : 20190711
20190711104647
ACCESSION NUMBER: 0001015325-19-000017
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20190711
DATE AS OF CHANGE: 20190711
EFFECTIVENESS DATE: 20190711
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-335611
FILM NUMBER: 19950554
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/A
1
primary_doc.xml
X0708
D/A
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
true
0001015325-19-000005
2019-03-12
false
true
false
0
TripleTree, LLC
42820
None
None
3600 Minnesota Drive
Suite 200
Edina
MN
MINNESOTA
55435
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
2019-07-11