0001637892-19-000001.txt : 20190410 0001637892-19-000001.hdr.sgml : 20190410 20190410094950 ACCESSION NUMBER: 0001637892-19-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190410 DATE AS OF CHANGE: 20190410 EFFECTIVENESS DATE: 20190410 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COUNTRY CLUB OF GREENVILLE, LLC CENTRAL INDEX KEY: 0001637892 IRS NUMBER: 473101322 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-236816 FILM NUMBER: 19740733 BUSINESS ADDRESS: STREET 1: 216 COUNTRY CLUB DRIVE CITY: GREENVILLE STATE: NC ZIP: 27834 BUSINESS PHONE: 252 412 4065 MAIL ADDRESS: STREET 1: 216 COUNTRY CLUB DRIVE CITY: GREENVILLE STATE: NC ZIP: 27834 D/A 1 primary_doc.xml X0708 D/A LIVE 0001637892 COUNTRY CLUB OF GREENVILLE, LLC 216 COUNTRY CLUB DRIVE GREENVILLE NC NORTH CAROLINA 27834 252 412 4065 NORTH CAROLINA None None Limited Liability Company true 2015 MARK HAYES 216 COUNTRY CLUB DRIVE GREENVILLE NC NORTH CAROLINA 27834 Executive Officer CHARLES TUDOR 216 COUNTRY CLUB DRIVE GREENVILLE NC NORTH CAROLINA 27834 Executive Officer CINDY WOOTEN 216 COUNTRY CLUB DRIVE GREENVILLE NC NORTH CAROLINA 27834 Executive Officer Other Decline to Disclose 06b true 0001637892-15-000001 2015-03-13 true true false 0 648150 648150 0 false 36 0 0 0 None other than payments of salary in the ordinary course of business to certain of the parties named in response to Item 3. false COUNTRY CLUB OF GREENVILLE, LLC /s/ Matthew G. Lenora Matthew G. Lenora Attorney-in-fact 2019-04-10