0000911959-14-000034.txt : 20141223 0000911959-14-000034.hdr.sgml : 20141223 20141223145624 ACCESSION NUMBER: 0000911959-14-000034 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141223 DATE AS OF CHANGE: 20141223 EFFECTIVENESS DATE: 20141223 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Beltline Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624643 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358 FILM NUMBER: 141306380 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lakepointe Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624680 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-01 FILM NUMBER: 141306381 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pleasantmanor Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624677 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-04 FILM NUMBER: 141306383 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Brinker Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624684 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-08 FILM NUMBER: 141306387 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Vintage Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624635 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-09 FILM NUMBER: 141306389 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Whitesboro Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624633 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-10 FILM NUMBER: 141306390 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fairpark Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624683 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-07 FILM NUMBER: 141306386 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RW Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624636 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-03 FILM NUMBER: 141306388 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rowlett Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624675 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-02 FILM NUMBER: 141306382 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HG Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624681 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-06 FILM NUMBER: 141306385 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mullican Senior Care Center Holdings, LLC CENTRAL INDEX KEY: 0001624679 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-228358-05 FILM NUMBER: 141306384 BUSINESS ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 949-477-5800 MAIL ADDRESS: STREET 1: 2 PARK PLAZA STREET 2: SUITE 800 CITY: IRVINE STATE: CA ZIP: 92614 D/A 1 primary_doc.xml X0707 D/A LIVE 0001624643 Beltline Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624633 Whitesboro Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624635 Vintage Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624636 RW Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624684 Brinker Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624683 Fairpark Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624681 HG Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624679 Mullican Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624677 Pleasantmanor Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624675 Rowlett Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 0001624680 Lakepointe Senior Care Center Holdings, LLC 2 PARK PLAZA SUITE 800 IRVINE CA CALIFORNIA 92614 949-477-5800 TEXAS None None Limited Liability Company true 2014 Joseph McKeever 2 Park Plaza Suite 800 Irvine CA CALIFORNIA 92614 Promoter Granite Asset Management Group LP N/A 2 Park Plaza Suite 800 Irvine CA CALIFORNIA 92614 Executive Officer Manager of Issuers John Heller 2 Park Plaza Suite 800 Irvine CA CALIFORNIA 92614 Executive Officer Promoter President of Granite Investment Group Allen L. Boerner 2 Park Plaza Suite 800 Irvine CA CALIFORNIA 92614 Executive Officer Promoter Chief Executive Officer of Granite Investment Group Michael Scott Rickard 2 Park Plaza Suite 800 Irvine CA CALIFORNIA 92614 Executive Officer Chief Investment Officer of Granite Investment Group Carey P. Levy 2 Park Plaza Suite 800 Irvine CA CALIFORNIA 92614 Executive Officer Promoter Chief Operating Officer of Granite Investment Group Granite Investment Group N/A 2 Park Plaza Suite 800 Irvine CA CALIFORNIA 92614 Executive Officer Other Health Care Not Applicable 06b true 0000911959-14-000029 2014-10-31 false true false 50000 John J. Temple 1139897 ARI Financial Services, Inc. 137608 9120 W 135th Street Suite 212 Overland Park KS KANSAS 66223 CA CALIFORNIA false Michael S. Rickard 1297325 Carolina Financial Securities, LLC 41970 2 Park Plaza Suite 800 Irvine CA CALIFORNIA 92614 AZ ARIZONA CA CALIFORNIA FL FLORIDA NJ NEW JERSEY NC NORTH CAROLINA OH OHIO TX TEXAS UT UTAH VA VIRGINIA WA WASHINGTON false Frank T. Dunn Jr. 1075960 Concorde Investment Services, LLC 151604 63 Quail Rock Place The Woodlands TX TEXAS 77381 MT MONTANA false Robert R. Tweed 2339324 Concorde Investment Services, LLC 151604 2060 Huntington Drive Suite 1 San Marino CA CALIFORNIA 91108 CA CALIFORNIA false Ronald L. Ellis 1605740 Primex Prime Electronic Execution, Inc. 29394 45 Knollwood Road 4th Floor Elmsford NY NEW YORK 10523 CA CALIFORNIA false Andrew J. Maconachy 6267751 Primex Prime Electronic Execution, Inc. 29394 45 Knollwood Road 4th Floor Elmsford NY NEW YORK 10523 CA CALIFORNIA OH OHIO false John P. Harvey Jr. 4227692 Sandlapper Securities, LLC 137906 1 City Boulevard West Suite 870 Orange CA CALIFORNIA 92868 CA CALIFORNIA NY NEW YORK TX TEXAS false Peter R. Dorn 1089858 Wall Street Strategies, Inc. 31268 660S. Prairie View Drive Suite 125 PMB 222 West Des Moines IA IOWA 50266 IL ILLINOIS IA IOWA false Warren J. Thomas 2299254 Lighthouse Capital Group, LLC 169135 251 S. Lake Avenue Suite 520 Pasadena CA CALIFORNIA 91101 CA CALIFORNIA false Bruce V. Roberts 1489110 Carolina Financial Securities, LLC 41970 185 W. Main Street Brevard NC NORTH CAROLINA 28712 CT CONNECTICUT MD MARYLAND NV NEVADA false 44000000 42500000 1500000 false 104 1500000 true 0 0 true Beltline Senior Care Center Holdings, LLC John Heller John Heller President 2014-12-23