0001857720-22-000002.txt : 20221220 0001857720-22-000002.hdr.sgml : 20221220 20221220123544 ACCESSION NUMBER: 0001857720-22-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221220 DATE AS OF CHANGE: 20221220 EFFECTIVENESS DATE: 20221220 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Itiliti Health, Inc. CENTRAL INDEX KEY: 0001894777 IRS NUMBER: 843689343 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-454888 FILM NUMBER: 221473875 BUSINESS ADDRESS: STREET 1: 6299 COUNTRY ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55346 BUSINESS PHONE: (952) 393-4781 MAIL ADDRESS: STREET 1: 6299 COUNTRY ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55346 D/A 1 primary_doc.xml X0708 D/A LIVE 0001894777 Itiliti Health, Inc. 6299 COUNTRY ROAD EDEN PRAIRIE MN MINNESOTA 55346 (952) 393-4781 DELAWARE None None Corporation true 2019 Michael Lunzer 6299 Country Road Eden Prairie MN MINNESOTA 55346 Executive Officer Director Landon Gibbs 6299 Country Road Eden Prairie MN MINNESOTA 55346 Director Andrew Schwab 6299 Country Road Eden Prairie MN MINNESOTA 55346 Director John Dunkelberger 6299 Country Road Eden Prairie MN MINNESOTA 55436 Director Other Technology Decline to Disclose 06b true 0001894777-22-000002 2022-08-01 false true false 100000 2000000 1850000 150000 false 5 0 0 300000 true false Itiliti Health, Inc. John T. Roberts John T. Roberts Legal Counsel to Issuer 2022-12-20