0001671107-23-000003.txt : 20231120 0001671107-23-000003.hdr.sgml : 20231120 20231120155819 ACCESSION NUMBER: 0001671107-23-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231120 DATE AS OF CHANGE: 20231120 EFFECTIVENESS DATE: 20231120 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mindset Medical LLC CENTRAL INDEX KEY: 0001671107 IRS NUMBER: 273604656 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-497736 FILM NUMBER: 231422675 BUSINESS ADDRESS: STREET 1: 12439 NORTH 32ND STREET CITY: PHOENIX STATE: AZ ZIP: 85032 BUSINESS PHONE: (480) 390-0354 MAIL ADDRESS: STREET 1: 12439 NORTH 32ND STREET CITY: PHOENIX STATE: AZ ZIP: 85032 D 1 primary_doc.xml X0708 D LIVE 0001671107 Mindset Medical LLC 12439 NORTH 32ND STREET PHOENIX AZ ARIZONA 85032 (480) 390-0354 ARIZONA None None Limited Liability Company true Mitchell Foster 12439 North 32nd Street Phoenix AZ ARIZONA 85032 Executive Officer Director Promoter Mark Whitehouse 12439 North 32nd Street Phoenix AZ ARIZONA 85032 Executive Officer Director Promoter Nicholas Theodore 12439 North 32nd Street Phoenix AZ ARIZONA 85032 Director Joel Barthelemy 12439 North 32nd Street Phoenix AZ ARIZONA 85032 Director Other Technology Decline to Disclose 06b false 2021-04-19 false true true false 0 1536855 1536855 0 false 13 0 0 0 false Mindset Medical LLC /Mitchell A. Foster/ Mitchel A. Foster CEO 2023-11-20