0001687732-16-000001.txt : 20161019 0001687732-16-000001.hdr.sgml : 20161019 20161019153741 ACCESSION NUMBER: 0001687732-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161019 DATE AS OF CHANGE: 20161019 EFFECTIVENESS DATE: 20161019 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bluegrass Lake, LLC CENTRAL INDEX KEY: 0001687732 IRS NUMBER: 814060958 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-272854 FILM NUMBER: 161942562 BUSINESS ADDRESS: STREET 1: 9202 SOUTH NORTHSHORE DRIVE, SUITE 300 CITY: KNOXVILLE STATE: TN ZIP: 39722 BUSINESS PHONE: 865-243-2410 MAIL ADDRESS: STREET 1: 9202 SOUTH NORTHSHORE DRIVE, SUITE 300 CITY: KNOXVILLE STATE: TN ZIP: 39722 D 1 primary_doc.xml X0707 D LIVE 0001687732 Bluegrass Lake, LLC 9202 SOUTH NORTHSHORE DRIVE, SUITE 300 KNOXVILLE TN TENNESSEE 37922 865-243-2410 TENNESSEE None None Limited Liability Company true 2016 William P. Crawford 9202 S. Northshore Drive, Suite 300 Knoxville TN TENNESSEE 37922 Executive Officer Manager Michael R. West 9202 S. Northshore Drive, Suite 300 Knoxville TN TENNESSEE 37922 Executive Officer President Investing No Revenues 06b false 2016-10-12 false true false 0 1999800 300000 1699800 false 1 0 0 0 false Bluegrass Lake, LLC s/ Michael R. West Michael R. West President 2016-10-19