0001685779-16-000001.txt : 20161115 0001685779-16-000001.hdr.sgml : 20161115 20161115142611 ACCESSION NUMBER: 0001685779-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20161115 DATE AS OF CHANGE: 20161115 EFFECTIVENESS DATE: 20161115 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lake Havasu Independent Living LLC CENTRAL INDEX KEY: 0001685779 IRS NUMBER: 813428781 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274513 FILM NUMBER: 161999174 BUSINESS ADDRESS: STREET 1: 1845 MCCULLOCH BLVD. STE. A6 CITY: LAKE HAVASU CITY STATE: AZ ZIP: 86403 BUSINESS PHONE: 9288547747 MAIL ADDRESS: STREET 1: 1845 MCCULLOCH BLVD. STE. A6 CITY: LAKE HAVASU CITY STATE: AZ ZIP: 86403 D 1 primary_doc.xml X0707 D LIVE 0001685779 Lake Havasu Independent Living LLC 1845 MCCULLOCH BLVD. STE. A6 LAKE HAVASU CITY AZ ARIZONA 86403 9288547747 ARIZONA None None Limited Liability Company true 2016 Adam C. Pakes 1845 McCulloch Blvd. Ste. A6 Lake Havasu City AZ ARIZONA 86403 Executive Officer Adam C. Pakes is the Manager of Summerlin Asset Management LLC, an Arizona company who is the Manager of Issuer Lake Havasu Independent Living LLC Construction No Revenues 06c false 2016-11-01 false true false 50000 5000000 350000 4650000 false 7 0 0 0 false Lake Havasu Independent Living LLC /s/ Adam C. Pakes Adam C. Pakes Manager of Summerlin Asset Management LLC, Manager 2016-11-15