0001967376-23-000001.txt : 20230303
0001967376-23-000001.hdr.sgml : 20230303
20230303124828
ACCESSION NUMBER: 0001967376-23-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20230303
DATE AS OF CHANGE: 20230303
EFFECTIVENESS DATE: 20230303
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Legacy Lyfe Holdings, LLC
CENTRAL INDEX KEY: 0001967376
IRS NUMBER: 921551014
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-474832
FILM NUMBER: 23702707
BUSINESS ADDRESS:
STREET 1: 9000 PERRY HIGHWAY
CITY: PITTSBURGH
STATE: PA
ZIP: 15237
BUSINESS PHONE: 412-334-8047
MAIL ADDRESS:
STREET 1: 9000 PERRY HIGHWAY
CITY: PITTSBURGH
STATE: PA
ZIP: 15237
D
1
primary_doc.xml
X0708
D
LIVE
0001967376
Legacy Lyfe Holdings, LLC
9000 PERRY HIGHWAY
PITTSBURGH
PA
PENNSYLVANIA
15237
412-334-8047
DELAWARE
Legacy Medical Group, LLC
None
Limited Liability Company
true
2022
Angela
Huinker
1425 Deer Crossing Drive
Canonsburg
PA
PENNSYLVANIA
15317
Executive Officer
James
Matthew
Burnett
201 Molly Drive
McMurray
PA
PENNSYLVANIA
15317
Executive Officer
Promoter
Devin
O'Brien
15125 N. Scottsdale Road, Unit 419
Scottsdale
AZ
ARIZONA
85254
Executive Officer
Other Health Care
Decline to Disclose
- 06b
false
2023-02-21
false
true
false
250000
10000000
3000000
7000000
false
1
0
0
0
false
Legacy Lyfe Holdings, LLC
Angela Huinker
Angela Huinker
COO
2023-03-03