0001783610-19-000001.txt : 20190814 0001783610-19-000001.hdr.sgml : 20190814 20190814124258 ACCESSION NUMBER: 0001783610-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190814 DATE AS OF CHANGE: 20190814 EFFECTIVENESS DATE: 20190814 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Puyallup Memory Care, LLC CENTRAL INDEX KEY: 0001783610 IRS NUMBER: 301087797 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-346533 FILM NUMBER: 191024691 BUSINESS ADDRESS: STREET 1: 111 MARKET STREET NE STREET 2: SUITE 200 CITY: OLYMPIA STATE: WA ZIP: 98501 BUSINESS PHONE: 360-887-1900 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 0001783610 Puyallup Memory Care, LLC 111 MARKET STREET NE SUITE 200 OLYMPIA WA WASHINGTON 98501 360-867-1900 DELAWARE None None Limited Liability Company true 2018 a Washington LLC Puyallup Koelsch, LLC 111 Market Street Suite 200 Olympia WA WASHINGTON 98501 Executive Officer Managing Member of the Issuer E. Aaron Koelsch 111 Market Street Suite 200 Olympia WA WASHINGTON 98501 Executive Officer a Washington corporation EAK Manager, Inc. 111 Market Street 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 28000 5600000 0 5600000 false 0 0 0 0 false Puyallup Memory Care, LLC /s/ E. Aaron Koelsch E. Aaron Koelsch President of the Managing Member of the Mgr of the Issuer 2019-08-14