0001710851-17-000001.txt : 20170703 0001710851-17-000001.hdr.sgml : 20170703 20170630173844 ACCESSION NUMBER: 0001710851-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170703 DATE AS OF CHANGE: 20170630 EFFECTIVENESS DATE: 20170703 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ASC Laurelhurst LLC CENTRAL INDEX KEY: 0001710851 IRS NUMBER: 384018442 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-289911 FILM NUMBER: 17943327 BUSINESS ADDRESS: STREET 1: 415 118TH AVE. SE CITY: BELLEVUE STATE: WA ZIP: 98005 BUSINESS PHONE: (866) 688-5829 MAIL ADDRESS: STREET 1: 415 118TH AVE. SE CITY: BELLEVUE STATE: WA ZIP: 98005 D 1 primary_doc.xml X0707 D LIVE 0001710851 ASC Laurelhurst LLC 415 118TH AVE. SE BELLEVUE WA WASHINGTON 98005 (866) 688-5829 WASHINGTON None None Limited Liability Company true 2016 Dwayne J. Clark 415 118TH AVE. SE BELLEVUE WA WASHINGTON 98005 Executive Officer Promoter Manager of Aegis Senior Communities LLC, the manager of Issuer Jerry C. Meyer 415 118TH AVE. SE BELLEVUE WA WASHINGTON 98005 Executive Officer Promoter Manager of Aegis Senior Communities LLC, the manager of Issuer Edward J. Poplawski 415 118TH AVE. SE BELLEVUE WA WASHINGTON 98005 Executive Officer Promoter Manager of Aegis Senior Communities LLC, the manager of Issuer Richard Tait 415 118TH AVE. SE BELLEVUE WA WASHINGTON 98005 Executive Officer Manager of Aegis Senior Communities LLC, the manager of Issuer Other Health Care Decline to Disclose 06b false 2017-06-28 false true false 0 9550000 9550000 0 false 20 0 0 0 false ASC Laurelhurst LLC /s/ Judy Meleliat Judy Meleliat President 2017-06-30