0001660050-15-000001.txt : 20151211 0001660050-15-000001.hdr.sgml : 20151211 20151211145127 ACCESSION NUMBER: 0001660050-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151211 DATE AS OF CHANGE: 20151211 EFFECTIVENESS DATE: 20151211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Karlov Street Health Care Investment 1, LLC CENTRAL INDEX KEY: 0001660050 IRS NUMBER: 611767631 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-252902 FILM NUMBER: 151283037 BUSINESS ADDRESS: STREET 1: 280 CEDAR AVENUE CITY: HIGHLAND PARK STATE: X1 ZIP: 60035 BUSINESS PHONE: (312) 404-8405 MAIL ADDRESS: STREET 1: 280 CEDAR AVENUE CITY: HIGHLAND PARK STATE: X1 ZIP: 60035 D 1 primary_doc.xml X0707 D LIVE 0001660050 Karlov Street Health Care Investment 1, LLC 280 CEDAR AVENUE HIGHLAND PARK X1 UNITED STATES 60035 (312) 404-8405 DELAWARE None None Limited Liability Company true 2015 Keith Shapiro 280 Cedar Ave. Highland Park IL ILLINOIS 60035 Executive Officer Keith Shapiro is the Manager of Newpath, LLC, which is the Manager of Karlov Street Health Care Investment Manager, LLC, which is the Manager of Karlov Street Health Care Investment 1, LLC. Commercial Decline to Disclose 06b false 2015-12-01 false true false 1 10350000 10350000 0 false 23 0 0 0 false Karlov Street Health Care Investment 1, LLC /s/ Urska P. Magajne Urska P. Magajne Attorney-in-Fact for Keith Shapiro 2015-12-11