0001687764-16-000001.txt : 20161018 0001687764-16-000001.hdr.sgml : 20161018 20161018101957 ACCESSION NUMBER: 0001687764-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161018 DATE AS OF CHANGE: 20161018 EFFECTIVENESS DATE: 20161018 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CA Senior Investors I, LLC CENTRAL INDEX KEY: 0001687764 IRS NUMBER: 813849199 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-272734 FILM NUMBER: 161940048 BUSINESS ADDRESS: STREET 1: 1006 DAVIS STREET CITY: EVANSTON STATE: IL ZIP: 60201 BUSINESS PHONE: 847-491-9211 MAIL ADDRESS: STREET 1: 1006 DAVIS STREET CITY: EVANSTON STATE: IL ZIP: 60201 D 1 primary_doc.xml X0707 D LIVE 0001687764 CA Senior Investors I, LLC 1006 DAVIS STREET EVANSTON IL ILLINOIS 60201 847-491-9211 DELAWARE None None Limited Liability Company true 2016 David Schultz 1006 Davis Street Evanston IL ILLINOIS 60201 Executive Officer Director Managing Member of the Issuer's Manager Jeffrey Krol 8700 West Bryn Mawr Suite 810 N. Chicago IL ILLINOIS 60631 Executive Officer Director Managing Member of the Issuer's Manager Residential Decline to Disclose 06b false true false true false 25000 4000000 0 4000000 false 0 0 0 0 The Manager will receive a management fee from the offering proceeds, although it will be recouped by the Issuer through a third party expense reimbursement. false CA Senior Investors I, LLC /s/ David Schultz David Schultz Managing Member of the Issuer's Manager 2016-10-17