0001719435-21-000005.txt : 20210512 0001719435-21-000005.hdr.sgml : 20210512 20210512104418 ACCESSION NUMBER: 0001719435-21-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210512 DATE AS OF CHANGE: 20210512 EFFECTIVENESS DATE: 20210512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ASSISTED 4 LIVING, INC. CENTRAL INDEX KEY: 0001719435 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 821884480 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-399071 FILM NUMBER: 21913933 BUSINESS ADDRESS: STREET 1: 6801 ENERGY COURT STREET 2: SUITE 201 CITY: SARASOTA STATE: FL ZIP: 34240 BUSINESS PHONE: 941-929-5450 MAIL ADDRESS: STREET 1: 6801 ENERGY COURT STREET 2: SUITE 201 CITY: SARASOTA STATE: FL ZIP: 34240 D 1 primary_doc.xml X0708 D LIVE 0001719435 ASSISTED 4 LIVING, INC. 6801 ENERGY COURT SUITE 201 SARASOTA FL FLORIDA 34240 941-929-5450 NEVADA None None Corporation true 2017 Bruce Cassidy 6801 Energy Court Suite 201 Sarasota FL FLORIDA 34240 Director Roger Tichenor 6801 Energy Court Suite 201 Sarasota FL FLORIDA 34240 Director Michael Valentino 6801 Energy Court Suite 201 Sarasota FL FLORIDA 34240 Director Denise Penz 6801 Energy Court Suite 201 Sarasota FL FLORIDA 34240 Director Amish Patel 6801 Energy Court Suite 201 Sarasota FL FLORIDA 34240 Director Louis Collier 6801 Energy Court Suite 201 Sarasota FL FLORIDA 34240 Executive Officer Janet Huffman 6801 Energy Court Suite 201 Sarasota FL FLORIDA 34240 Executive Officer Other Health Care $1 - $1,000,000 06b false 2021-03-23 false true true true Issuer issued securities to equity holders of Banyan Pediatric Care Centers, Inc. in exchange for their Banyan securities pursuant to a merger whereby Banyan became a wholly-owned subsidiary of Issuer 0 Indefinite 0 Indefinite Value of the common shares and warrant received from Banyan equity holders in exchange for issuing 4,165,418 shares of common stock and a warrant to purchase 75,000 common shares (at same Banyan warrant exercise price) is not currently known or knowable. true 1 65 0 0 0 false ASSISTED 4 LIVING, INC. Jeffery A. Bahnsen Jeffery A. Bahnsen Outside Legal Counsel 2021-05-12