0001690265-16-000001.txt : 20161116 0001690265-16-000001.hdr.sgml : 20161116 20161116160331 ACCESSION NUMBER: 0001690265-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161116 DATE AS OF CHANGE: 20161116 EFFECTIVENESS DATE: 20161116 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jamestown Assisted Living, LLC CENTRAL INDEX KEY: 0001690265 IRS NUMBER: 474393221 STATE OF INCORPORATION: ND FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274633 FILM NUMBER: 162002460 BUSINESS ADDRESS: STREET 1: 400 10TH STREET SE CITY: MINOT STATE: ND ZIP: 58701 BUSINESS PHONE: 7018523045 MAIL ADDRESS: STREET 1: 400 10TH STREET SE CITY: MINOT STATE: ND ZIP: 58701 D 1 primary_doc.xml X0707 D LIVE 0001690265 Jamestown Assisted Living, LLC 400 10TH STREET SE MINOT ND NORTH DAKOTA 58701 7018523045 NORTH DAKOTA None None Limited Liability Company true 2015 Todd Berning 400 10th Street SE Minot ND NORTH DAKOTA 58701 Executive Officer Commercial Decline to Disclose 06b false 2015-10-30 false true true false 5000 N/A None None None N/A N/A ND NORTH DAKOTA 58701 ND NORTH DAKOTA false 1000000 0 1000000 false 1 0 0 0 false Jamestown Assisted Living, LLC Todd Berning Todd Berning President 2016-11-16