0001610574-15-000002.txt : 20150825 0001610574-15-000002.hdr.sgml : 20150825 20150825124400 ACCESSION NUMBER: 0001610574-15-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150825 DATE AS OF CHANGE: 20150825 EFFECTIVENESS DATE: 20150825 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CPF SENIOR LIVING HOLDINGS, LLC CENTRAL INDEX KEY: 0001610574 IRS NUMBER: 465519156 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-219139 FILM NUMBER: 151072601 BUSINESS ADDRESS: STREET 1: 157 PUESTA DEL SOL CITY: OSPREY STATE: FL ZIP: 34229 BUSINESS PHONE: 312-273-4752 MAIL ADDRESS: STREET 1: 157 PUESTA DEL SOL CITY: OSPREY STATE: FL ZIP: 34229 D/A 1 primary_doc.xml X0707 D/A LIVE 0001610574 CPF SENIOR LIVING HOLDINGS, LLC 157 PUESTA DEL SOL OSPREY FL FLORIDA 34229 312-273-4752 DELAWARE None None Limited Liability Company true 2014 John Rijos 157 Puesta Del Sol Osprey FL FLORIDA 34229 Executive Officer Director Manager, Chairman, Chief Executive Officer and President Jay Flatt 400 North Michigan Avenue Suite 560 Chicago IL ILLINOIS 60611 Executive Officer Chief Financial Officer Mary Tolan 400 North Michigan Avenue Suite 560 Chicago IL ILLINOIS 60611 Director Vance Vanier 400 North Michigan Avenue Suite 560 Chicago IL ILLINOIS 60611 Director Other Health Care Decline to Disclose 06b true 0001610574-14-000002 2014-05-29 false true true A subsidiary of the issuer underwent a business combination transaction in connection with this offering. 100000 Indefinite 33883334 Indefinite false 2 0 0 0 false CPF SENIOR LIVING HOLDINGS, LLC /s/ John Rijos John Rijos Manager, Chairman, Chief Executive Officer and President 2015-08-25