0001710820-17-000001.txt : 20170630 0001710820-17-000001.hdr.sgml : 20170630 20170630092300 ACCESSION NUMBER: 0001710820-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20170630 DATE AS OF CHANGE: 20170630 EFFECTIVENESS DATE: 20170630 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KB Dialysis Southwest, DST CENTRAL INDEX KEY: 0001710820 IRS NUMBER: 826237864 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-289799 FILM NUMBER: 17940515 BUSINESS ADDRESS: STREET 1: 2801 N. TENAYA WAY CITY: LAS VEGAS STATE: NV ZIP: 89128 BUSINESS PHONE: (702) 454-9000 MAIL ADDRESS: STREET 1: 2801 N. TENAYA WAY CITY: LAS VEGAS STATE: NV ZIP: 89128 D 1 primary_doc.xml X0707 D LIVE 0001710820 KB Dialysis Southwest, DST 2801 N. TENAYA WAY LAS VEGAS NV NEVADA 89128 (702) 454-9000 DELAWARE None None Other Delaware statutory trust true 2017 . Kingsbarn Realty Capital, LLC 2801 N. Tenaya Way Las Vegas NV NEVADA 89128 Promoter . KB Exchange Holdings, LLC 2801 N. Tenaya Way Las Vegas NV NEVADA 89128 Promoter Jeff Pori 2801 N. Tenaya way Las Vegas NV NEVADA 89128 Executive Officer Promoter Mark Paul 2801 N. Tenaya Way Las Vegas NV NEVADA 89128 Executive Officer Promoter Commercial Decline to Disclose 06c false true false true Beneficial interests in a Delaware statutory trust false 100000 6725000 0 6725000 false 0 0 0 475000 true false KB Dialysis Southwest, DST Jeff Pori Jeff Pori Managing Partner of Sponsor 2017-06-30