0001824510-21-000001.txt : 20210915 0001824510-21-000001.hdr.sgml : 20210915 20210915092346 ACCESSION NUMBER: 0001824510-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210915 DATE AS OF CHANGE: 20210915 EFFECTIVENESS DATE: 20210915 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SmartScripts Holdings LLC CENTRAL INDEX KEY: 0001824510 IRS NUMBER: 823045119 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-413381 FILM NUMBER: 211254432 BUSINESS ADDRESS: STREET 1: 1010 WEST MADISON STREET CITY: WASHINGTON STATE: IA ZIP: 52353 BUSINESS PHONE: 844-597-6278 MAIL ADDRESS: STREET 1: 1010 WEST MADISON STREET CITY: WASHINGTON STATE: IA ZIP: 52353 D 1 primary_doc.xml X0708 D LIVE 0001824510 SmartScripts Holdings LLC 1010 WEST MADISON STREET WASHINGTON IA IOWA 52353 844-597-6278 IOWA None None Limited Liability Company true 2017 Todd Thompson 1010 West Madison Street Washington IA IOWA 52353 Executive Officer Director President, Chief Executive Officer and Manager Samuel Zoske 1010 West Madison Street Washington IA IOWA 52353 Executive Officer Senior Vice President and Secretary Adam Koppes 1010 West Madison Street Washington IA IOWA 52353 Director Manager Roby Miller 1010 West Madison Street Washington IA IOWA 52353 Director Manager Eric Peterson 1010 West Madison Street Washington IA IOWA 52353 Director Manager Scott Hoekman 1010 West Madison Street Washington IA IOWA 52353 Director Manager Michael Draper 1010 West Madison Street Washington IA IOWA 52353 Executive Officer Chief Financial Officer Other Health Care Decline to Disclose 06b false 2021-08-31 false true false 50000 16745871 11235869 5510002 false 10 0 0 0 false SmartScripts Holdings LLC /s/ Todd Thompson Todd Thompson Chief Executive Officer 2021-09-15