0001673176-16-000001.txt : 20160429 0001673176-16-000001.hdr.sgml : 20160429 20160429110734 ACCESSION NUMBER: 0001673176-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160429 DATE AS OF CHANGE: 20160429 EFFECTIVENESS DATE: 20160429 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CCRC of Cedar Rapids, LLC CENTRAL INDEX KEY: 0001673176 IRS NUMBER: 812355305 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-262291 FILM NUMBER: 161603632 BUSINESS ADDRESS: STREET 1: 11827 W 112TH STREET, SUITE 103 CITY: OVERLAND PARK STATE: KS ZIP: 66210 BUSINESS PHONE: 913-599-5705 MAIL ADDRESS: STREET 1: 11827 W 112TH STREET, SUITE 103 CITY: OVERLAND PARK STATE: KS ZIP: 66210 D 1 primary_doc.xml X0707 D LIVE 0001673176 CCRC of Cedar Rapids, LLC 11827 W 112TH STREET, SUITE 103 OVERLAND PARK KS KANSAS 66210 913-599-5705 IOWA None None Limited Liability Company true 2015 Development, LLC Scenic 11827 W 112th Street, Suite 103 Overland Park KS KANSAS 66210 Director Manager of CCRC of Cedar Rapids Gilbert Wood 11827 W 112th Street, Suite 103 Overland Park KS KANSAS 66210 Executive Officer CEO of Scenic Development, LLC Wayne Anderson 11827 W 112th Street, Suite 103 Overland Park KS KANSAS 66210 Director Vice President of Scenic Development, LLC Scott Gulledge 11827 W 112th St, Suite 103 Overland Park KS KANSAS 66210 Director COO of Scenic Development, LLC Other Health Care Decline to Disclose 06b false 2016-04-18 false true false 160000 12880000 320000 12560000 false 1 0 0 0 false CCRC of Cedar Rapids, LLC /s/ Gilbert Wood Gilbert Wood CEO of Scenic Development, LLC, Mngr of CCRC of Cedar Rapids 2016-04-28