0001715430-17-000001.txt : 20170824 0001715430-17-000001.hdr.sgml : 20170824 20170824103247 ACCESSION NUMBER: 0001715430-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20170824 DATE AS OF CHANGE: 20170824 EFFECTIVENESS DATE: 20170824 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KB Midwest Dialysis, DST CENTRAL INDEX KEY: 0001715430 IRS NUMBER: 826346433 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-293403 FILM NUMBER: 171048460 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 X0708 D LIVE 0001715430 KB Midwest Dialysis, 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 5400000 0 5400000 false 0 0 0 535000 true false KB Midwest Dialysis, DST Jeff Pori Jeff Pori Managing Partner of Sponsor 2017-08-24