0001862252-21-000001.txt : 20210521 0001862252-21-000001.hdr.sgml : 20210521 20210520173123 ACCESSION NUMBER: 0001862252-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210521 DATE AS OF CHANGE: 20210520 EFFECTIVENESS DATE: 20210521 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Summit SI Holdings, LLC CENTRAL INDEX KEY: 0001862252 IRS NUMBER: 863752659 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-400126 FILM NUMBER: 21945628 BUSINESS ADDRESS: STREET 1: 10640 COUNTY HIGHWAY D20 CITY: ALDEN STATE: IA ZIP: 50006 BUSINESS PHONE: 515-854-9820 MAIL ADDRESS: STREET 1: 10640 COUNTY HIGHWAY D20 CITY: ALDEN STATE: IA ZIP: 50006 D 1 primary_doc.xml X0708 D LIVE 0001862252 Summit SI Holdings, LLC 10640 COUNTY HIGHWAY D20 ALDEN IA IOWA 50006 515-854-9820 IOWA None None Other Limited Liability Company true 2021 n/a SSIMM, LLC 10640 County Highway D20 Alden IA IOWA 50006 Executive Officer Director Managing Member of Issuer Bruce Rastetter 10640 County Highway D20 Alden IA IOWA 50006 Executive Officer Director Managing Member and Vice President of Managing Member Justin Kirchhoff 10640 County Highway D20 Alden IA IOWA 50006 Executive Officer Vice-President of Managing Member Other Energy Decline to Disclose 06b false true true true true false 10000 45000000 0 45000000 false 0 0 0 1350000 true Estimated amount of proceeds applied to pay management fees to SSIMM, LLC. false Summit SI Holdings, LLC /s/ Justin Kirchhoff Justin Kirchhoff Vice-President of Managing Member 2021-05-20