0001945223-22-000001.txt : 20220906 0001945223-22-000001.hdr.sgml : 20220906 20220906141312 ACCESSION NUMBER: 0001945223-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220906 DATE AS OF CHANGE: 20220906 EFFECTIVENESS DATE: 20220906 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Summit Hospice & Palliative Care, Inc. CENTRAL INDEX KEY: 0001945223 IRS NUMBER: 883719340 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-458032 FILM NUMBER: 221227936 BUSINESS ADDRESS: STREET 1: 1445 WOODMONT LN NW STREET 2: #511 CITY: ATLANTA STATE: GA ZIP: 30318 BUSINESS PHONE: 678-386-5578 MAIL ADDRESS: STREET 1: 1445 WOODMONT LN NW STREET 2: #511 CITY: ATLANTA STATE: GA ZIP: 30318 D 1 primary_doc.xml X0708 D LIVE 0001945223 Blue Summit Hospice & Palliative Care, Inc. 1445 WOODMONT LN NW #511 ATLANTA GA GEORGIA 30318 678-386-5578 DELAWARE None None Corporation true 2022 Amanda Delpozo McKissick 1445 Woodmont Ln NW #511 Atlanta GA GEORGIA 30318 Executive Officer Director Other Health Care Decline to Disclose 06b false 2022-08-29 false true false 0 770000 170000 600000 false 2 0 0 0 Officers to be remunerated in the ordinary course of business. false Blue Summit Hospice & Palliative Care, Inc. Amanda Delpozo McKissick Amanda Delpozo McKissick CEO 2022-09-06