0001716929-17-000001.txt : 20170915 0001716929-17-000001.hdr.sgml : 20170915 20170915092902 ACCESSION NUMBER: 0001716929-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170915 DATE AS OF CHANGE: 20170915 EFFECTIVENESS DATE: 20170915 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Palmetto Capital Senior Living I, LLC CENTRAL INDEX KEY: 0001716929 IRS NUMBER: 384045748 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-294788 FILM NUMBER: 171087039 BUSINESS ADDRESS: STREET 1: 572 PONTE VEDRA BOULEVARD CITY: PONTE VEDRA BEACH STATE: FL ZIP: 32082 BUSINESS PHONE: 904-716-0431 MAIL ADDRESS: STREET 1: 572 PONTE VEDRA BOULEVARD CITY: PONTE VEDRA BEACH STATE: FL ZIP: 32082 D 1 primary_doc.xml X0708 D LIVE 0001716929 Palmetto Capital Senior Living I, LLC 572 PONTE VEDRA BOULEVARD PONTE VEDRA BEACH FL FLORIDA 32082 904-716-0431 FLORIDA None None Limited Liability Company true 2017 Jennifer Levinson 572 Ponte Vedra Boulevard Ponte Vedra Beach FL FLORIDA 32082 Executive Officer Other Decline to Disclose 06b false 2017-08-31 false true false 100000 1950000 1950000 0 false 8 0 0 0 false Palmetto Capital Senior Living I, LLC Jennifer Levinson Jennifer Levinson President 2017-09-15