0001571049-16-010857.txt : 20160121 0001571049-16-010857.hdr.sgml : 20160121 20160120175644 ACCESSION NUMBER: 0001571049-16-010857 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160121 DATE AS OF CHANGE: 20160120 EFFECTIVENESS DATE: 20160121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset HUD SF CA, LLC CENTRAL INDEX KEY: 0001613459 IRS NUMBER: 461251365 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-255614 FILM NUMBER: 161352011 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 D 1 primary_doc.xml X0707 D LIVE 0001613459 OHI Asset HUD SF CA, LLC 200 INTERNATIONAL CIRCLE, SUITE 3500 HUNT VALLEY MD MARYLAND 21030 410-427-1700 DELAWARE None None Limited Liability Company true 2012 Taylor C. Pickett 200 International Circle, Suite 3500 Hunt Valley MD MARYLAND 21030 Executive Officer Director Daniel J. Booth 200 International Circle, Suite 3500 Hunt Valley MD MARYLAND 21030 Executive Officer Michael D. Ritz 200 International Circle, Suite 3500 Hunt Valley MD MARYLAND 21030 Executive Officer Director Robert O. Stephenson 200 International Circle, Suite 3500 Hunt Valley MD MARYLAND 21030 Executive Officer Director Steven J. Insoft 200 International Circle, Suite 3500 Hunt Valley MD MARYLAND 21030 Executive Officer REITS and Finance Decline to Disclose 06b false 2016-01-20 false true Redeemable Non-Voting Preferred Units false 1000 H&L Equities, LLC 113794 None None 1175 PEACHTREE ST. N.E. 100 COLONY SQUARE, SUITE 2200 ATLANTA GA GEORGIA 30361 FL FLORIDA GA GEORGIA TX TEXAS false Charles B. Harrison 3071551 H&L Equities, LLC 113794 1175 PEACHTREE ST. N.E. 100 COLONY SQUARE, SUITE 2200 ATLANTA GA GEORGIA 30361 FL FLORIDA GA GEORGIA TX TEXAS false Scott Harrison 4981070 H&L Equities, LLC 113794 1175 PEACHTREE ST. N.E. 100 COLONY SQUARE, SUITE 2200 ATLANTA GA GEORGIA 30361 FL FLORIDA GA GEORGIA TX TEXAS false Phyllis Johnson 1020488 H&L Equities, LLC 113794 1175 PEACHTREE ST. N.E. 100 COLONY SQUARE, SUITE 2200 ATLANTA GA GEORGIA 30361 GA GEORGIA TX TEXAS false Patrick J. Whelchel 5389090 H&L Equities, LLC 113794 1175 PEACHTREE ST. N.E. 100 COLONY SQUARE, SUITE 2200 ATLANTA GA GEORGIA 30361 GA GEORGIA false Lori Mayfield 4899271 H&L Equities, LLC 113794 1175 PEACHTREE ST. N.E. 100 COLONY SQUARE, SUITE 2200 ATLANTA GA GEORGIA 30361 GA GEORGIA false 125000 125000 0 false 125 6250 0 0 false OHI Asset HUD SF CA, LLC /s/ Dylan Coons Dylan Coons Attorney-in-Fact 2016-01-20