0001610574-16-000004.txt : 20160825 0001610574-16-000004.hdr.sgml : 20160825 20160825075019 ACCESSION NUMBER: 0001610574-16-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160825 DATE AS OF CHANGE: 20160825 EFFECTIVENESS DATE: 20160825 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: 161850398 BUSINESS ADDRESS: STREET 1: 980 N. MICHIGAN AVE., #1998 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312-273-4750 MAIL ADDRESS: STREET 1: 980 N. MICHIGAN AVE., #1998 CITY: CHICAGO STATE: IL ZIP: 60611 D/A 1 primary_doc.xml X0707 D/A LIVE 0001610574 CPF SENIOR LIVING HOLDINGS, LLC 980 N. MICHIGAN AVE., #1998 CHICAGO IL ILLINOIS 60611 312-273-4750 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 980 N. MICHIGAN AVE., #1998 CHICAGO IL ILLINOIS 60611 Executive Officer Chief Financial Officer Mary Tolan 980 N. MICHIGAN AVE., #1998 CHICAGO IL ILLINOIS 60611 Director Vance Vanier 980 N. MICHIGAN AVE., #1998 CHICAGO IL ILLINOIS 60611 Director Other Health Care Decline to Disclose 06b true 0001610574-14-000002 2014-05-29 true true true A subsidiary of the issuer underwent a business combination transaction in connection with this offering. 100000 Indefinite 86000003 Indefinite false 24 0 0 0 false CPF SENIOR LIVING HOLDINGS, LLC /s/ John Rijos John Rijos Manager, Chairman, Chief Executive Officer and President 2016-08-25