0001894777-23-000001.txt : 20231121 0001894777-23-000001.hdr.sgml : 20231121 20231121111855 ACCESSION NUMBER: 0001894777-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231121 DATE AS OF CHANGE: 20231121 EFFECTIVENESS DATE: 20231121 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: 021-497799 FILM NUMBER: 231425248 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 Andrew Schwab 6299 Country Road Eden Prairie MN MINNESOTA 55346 Director John Dunkelberger 6299 Country Road Eden Prairie MN MINNESOTA 55346 Director Other Technology Decline to Disclose 06b false 2023-11-06 false true false 0 1755273 1107683 647590 false 9 0 0 120000 true false Itiliti Health, Inc. /s/ Dan Buechler Dan Buechler Attorney for Issuer 2023-11-21