0001916567-22-000001.txt : 20220314
0001916567-22-000001.hdr.sgml : 20220314
20220314132254
ACCESSION NUMBER: 0001916567-22-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20220314
DATE AS OF CHANGE: 20220314
EFFECTIVENESS DATE: 20220314
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Blue Zone Medical Consulting, LLC
CENTRAL INDEX KEY: 0001916567
IRS NUMBER: 874758978
STATE OF INCORPORATION: VA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-437119
FILM NUMBER: 22735934
BUSINESS ADDRESS:
STREET 1: 14376 CLEARVIEW AVENUE
CITY: GAINESVILLE
STATE: VA
ZIP: 20155
BUSINESS PHONE: 571-839-7748
MAIL ADDRESS:
STREET 1: 14376 CLEARVIEW AVENUE
CITY: GAINESVILLE
STATE: VA
ZIP: 20155
D
1
primary_doc.xml
X0708
D
LIVE
0001916567
Blue Zone Medical Consulting, LLC
14376 CLEARVIEW AVENUE
GAINESVILLE
VA
VIRGINIA
20155
571-839-7748
VIRGINIA
None
None
Limited Liability Company
true
2022
Scott
Lawrenson
14376 Clearview Avenue
Gainesville
VA
VIRGINIA
20155
Executive Officer
Manager
Other
Decline to Disclose
- 06b
false
2022-02-10
false
true
false
62500
1500000
1250000
250000
false
7
0
0
0
false
Blue Zone Medical Consulting, LLC
Daniel Ingersoll
Daniel Ingersoll
Power of Attorney
2022-03-14