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