0001655393-22-000002.txt : 20220617 0001655393-22-000002.hdr.sgml : 20220617 20220616204637 ACCESSION NUMBER: 0001655393-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220617 DATE AS OF CHANGE: 20220616 EFFECTIVENESS DATE: 20220617 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pinnacle Integrated Medicine, Inc. CENTRAL INDEX KEY: 0001655393 IRS NUMBER: 474933829 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-449514 FILM NUMBER: 221022189 BUSINESS ADDRESS: STREET 1: P.O. BOX 2008 CITY: BOISE STATE: ID ZIP: 83701 BUSINESS PHONE: 208-559-1301 MAIL ADDRESS: STREET 1: P.O. BOX 2008 CITY: BOISE STATE: ID ZIP: 83701 D 1 primary_doc.xml X0708 D LIVE 0001655393 Pinnacle Integrated Medicine, Inc. 910 WEST MAIN STREET STE 230 BOISE ID IDAHO 83701 855-939-8482 IDAHO None None Corporation true Jason Haugen PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Board Chair/President Thad Woodard PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Chief Medical Officer Thomas Wiggins PO Box 2008 Boise ID IDAHO 83701 Executive Officer Chief Technology Officer Craig Hinkle PO Box 2008 Boise ID IDAHO 83701 Director Mikael Lagwinski PO Box 2008 Boise ID IDAHO 83701 Director Julie Robinson PO Box 2008 Boise ID IDAHO 83701 Director Wade Erickson PO Box 2008 Boise ID IDAHO 83701 Director Leigh Ann Woodard PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Quality Director Cynthia Alkire PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Care Management Director Suzanne McKinney PO Box 2008 Boise ID IDAHO 83701 Executive Officer Director Secretary Dennis Spencer PO Box 2008 Boise ID IDAHO 83701 Director Other Health Care Decline to Disclose 06b false 2022-05-06 true true false 0 1992187 998250 993937 false 1 0 0 0 true false Pinnacle Integrated Medicine, Inc. /David Arkoosh/ David Arkoosh Attorney 2022-06-16