0001690940-16-000001.txt : 20161219 0001690940-16-000001.hdr.sgml : 20161219 20161216180640 ACCESSION NUMBER: 0001690940-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161219 DATE AS OF CHANGE: 20161216 EFFECTIVENESS DATE: 20161219 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surprise Independent Living, LLC CENTRAL INDEX KEY: 0001690940 IRS NUMBER: 384015441 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-276524 FILM NUMBER: 162057350 BUSINESS ADDRESS: STREET 1: 111 MARKET STREET NE STREET 2: SUITE 200 CITY: OLYMPIA STATE: WA ZIP: 98501 BUSINESS PHONE: 360-867-1900 MAIL ADDRESS: STREET 1: 111 MARKET STREET NE STREET 2: SUITE 200 CITY: OLYMPIA STATE: WA ZIP: 98501 D 1 primary_doc.xml X0707 D LIVE 0001690940 Surprise Independent Living, LLC 111 MARKET STREET NE SUITE 200 OLYMPIA WA WASHINGTON 98501 360-867-1900 DELAWARE None None Limited Liability Company true 2016 a Washington LLC Surprise Koelsch, LLC 111 Market Street NE Suite 200 Olympia WA WASHINGTON 98501 Executive Officer Aaron Koelsch 111 Market Street NE Suite 200 Olympia WA WASHINGTON 98501 Executive Officer a Washington corporation EAK Manager, Inc. 111 Market Street NE Suite 200 Olympia WA WASHINGTON 98501 Executive Officer Manager of the Manager of the Issuer Other Real Estate Decline to Disclose 06b false true false true false 224000 11200000 0 11200000 false 0 0 0 0 false Surprise Independent Living, LLC /s/ Aaron Koelsch Aaron Koelsch Managing Member of Managing Member of Issuer 2016-12-16