0001700572-17-000001.txt : 20170331 0001700572-17-000001.hdr.sgml : 20170331 20170331153133 ACCESSION NUMBER: 0001700572-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170331 DATE AS OF CHANGE: 20170331 EFFECTIVENESS DATE: 20170331 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Modesto Independent Living, LLC CENTRAL INDEX KEY: 0001700572 IRS NUMBER: 320493244 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-283818 FILM NUMBER: 17730059 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 0001700572 Modesto 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 Modesto IL Koelsch, LLC 111 Market Street NE Suite 200 Olympia WA WASHINGTON 98501 Executive Officer Managing Member of the Issuer 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 184300 9215000 0 9215000 false 0 0 0 0 false Modesto Independent Living, LLC /s/ Aaron Koelsch Aaron Koelsch President of the Managing Member of the Mgr of the Issuer 2017-03-31