0001690651-16-000001.txt : 20161130 0001690651-16-000001.hdr.sgml : 20161130 20161130131522 ACCESSION NUMBER: 0001690651-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161130 DATE AS OF CHANGE: 20161130 EFFECTIVENESS DATE: 20161130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Eventide Jamestown LLC CENTRAL INDEX KEY: 0001690651 IRS NUMBER: 272608086 STATE OF INCORPORATION: ND FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-275346 FILM NUMBER: 162024719 BUSINESS ADDRESS: STREET 1: 2405 8TH STREET S. STREET 2: SUITE A CITY: MOORHEAD STATE: MN ZIP: 56560 BUSINESS PHONE: (218) 291-2230 MAIL ADDRESS: STREET 1: 2405 8TH STREET S. STREET 2: SUITE A CITY: MOORHEAD STATE: MN ZIP: 56560 D 1 primary_doc.xml X0707 D LIVE 0001690651 Eventide Jamestown LLC 2405 8TH STREET S. SUITE A MOORHEAD MN MINNESOTA 56560 (218) 291-2230 NORTH DAKOTA None None Limited Liability Company true JON RIEWER 2405 8TH STREET S. SUITE A MOORHEAD MN MINNESOTA 56560 Executive Officer WADE STUBSON 2405 8TH STREET S. SUITE A MOORHEAD MN MINNESOTA 56560 Executive Officer ANNE BRAKKE 2405 8TH STREET S. SUITE A MOORHEAD MN MINNESOTA 56560 Executive Officer Director PETER SELJEVOLD 2405 8TH STREET S. SUITE A MOORHEAD MN MINNESOTA 56560 Executive Officer Director DON STIEHA 2405 8TH STREET S. SUITE A MOORHEAD MN MINNESOTA 56560 Director LEANN WRIGHT 2405 8TH STREET S. SUITE A MOORHEAD MN MINNESOTA 56560 Director MARJORIE MATTHEES 2405 8TH STREET S. SUITE A MOORHEAD MN MINNESOTA 56560 Director Other Health Care Decline to Disclose 06b false 2016-04-01 false true false 0 370000 370000 0 false 1 0 0 0 false Eventide Jamestown LLC /s/ Jon Riewer Jon Riewer President & CEO 2016-11-29