0001771871-19-000001.txt : 20190529 0001771871-19-000001.hdr.sgml : 20190529 20190529150339 ACCESSION NUMBER: 0001771871-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190529 DATE AS OF CHANGE: 20190529 EFFECTIVENESS DATE: 20190529 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bellevue Senior Housing, LLC CENTRAL INDEX KEY: 0001771871 IRS NUMBER: 822368478 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-340617 FILM NUMBER: 19861413 BUSINESS ADDRESS: STREET 1: 111 MARKET STREET NE STREET 2: SUITE 200 CITY: OLYMPIA STATE: WA ZIP: 98501 BUSINESS PHONE: 360-867-1900 MAIL ADDRESS: STREET 1: 111 MARKET STREET NE STREET 2: SUITE 200 CITY: OLYMPIA STATE: WA ZIP: 98501 D 1 primary_doc.xml X0708 D LIVE 0001771871 Bellevue Senior Housing, LLC 111 MARKET STREET NE SUITE 200 OLYMPIA WA WASHINGTON 98501 360-867-1900 DELAWARE None None Limited Liability Company true 2017 a Washington LLC Bellevue Koelsch, LLC 111 Market Street Suite 200 Olympia WA WASHINGTON 98501 Executive Officer Managing Member of the Issuer Aaron Koelsch 111 Market Street NE Suite 200 Olympia WA WASHINGTON 98501 Executive Officer a Washington corporation EAK Manager, Inc. 111 Market Street NE Suite 200 Olympia WA WASHINGTON 98501 Executive Officer Manager of the Manager of the Issuer Other Real Estate Decline to Disclose 06b false true false true false 560000 28000000 0 28000000 false 0 0 0 0 false Bellevue Senior Housing, LLC /s/ Aaron Koelsch Aaron Koelsch President of the Managing Member of the Mgr of the Issuer 2019-05-29