0001894777-21-000001.txt : 20211119 0001894777-21-000001.hdr.sgml : 20211119 20211119124829 ACCESSION NUMBER: 0001894777-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211119 DATE AS OF CHANGE: 20211119 EFFECTIVENESS DATE: 20211119 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-421820 FILM NUMBER: 211427568 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 1 primary_doc.xml X0708 D 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 Other Technology Decline to Disclose 06b false 2021-11-01 false true false 0 3032626 3032626 0 false 12 0 0 0 false Itiliti Health, Inc. /s/ Michael Lunzer Michael Lunzer Chief Executive Officer 2021-11-19