0001795446-19-000001.txt : 20191212 0001795446-19-000001.hdr.sgml : 20191212 20191212133742 ACCESSION NUMBER: 0001795446-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191212 DATE AS OF CHANGE: 20191212 EFFECTIVENESS DATE: 20191212 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ASC Carkeek Park LLC CENTRAL INDEX KEY: 0001795446 IRS NUMBER: 000000000 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-355394 FILM NUMBER: 191281558 BUSINESS ADDRESS: STREET 1: 415 118TH AVE SE CITY: BELLEVUE STATE: WA ZIP: 98005 BUSINESS PHONE: 425-895-7635 MAIL ADDRESS: STREET 1: 415 118TH AVE SE CITY: BELLEVUE STATE: WA ZIP: 98005 D 1 primary_doc.xml X0708 D LIVE 0001795446 ASC Carkeek Park LLC 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 425-895-7635 WASHINGTON None None Limited Liability Company true 2017 DWAYNE J CLARK 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Executive Officer Director WALTER JOSSART 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Executive Officer JERRY MEYER 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC EDDIE POPLAWSKI 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC RICHARD TAIT 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC ASHLEY REA 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC ADAM CLARK 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC Other Health Care Decline to Disclose 06b false 2019-12-03 false true false 0 16900000 16900000 0 false 89 0 0 0 false ASC Carkeek Park LLC /s/Walter Jossart WALTER JOSSART CHIEF FINANCIAL OFFICER 2019-12-12