0001801171-20-000001.txt : 20200127 0001801171-20-000001.hdr.sgml : 20200127 20200127114439 ACCESSION NUMBER: 0001801171-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200127 DATE AS OF CHANGE: 20200127 EFFECTIVENESS DATE: 20200127 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pine Bluffs Hotel, LLC CENTRAL INDEX KEY: 0001801171 IRS NUMBER: 832431457 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-358974 FILM NUMBER: 20547871 BUSINESS ADDRESS: STREET 1: 980 AMERICAN DRIVE CITY: NEENAH STATE: WI ZIP: 54956 BUSINESS PHONE: 9209553999 MAIL ADDRESS: STREET 1: 980 AMERICAN DRIVE CITY: NEENAH STATE: WI ZIP: 54956 D 1 primary_doc.xml X0708 D LIVE 0001801171 Pine Bluffs Hotel, LLC 980 AMERICAN DRIVE NEENAH WI WISCONSIN 54956 9209553999 WYOMING None None Limited Liability Company true 2018 Justin Fornstrom 609 Beech Avenue Pine Bluffs WY WYOMING 82082 Executive Officer Lodging and Conventions $1,000,001 - $5,000,000 06b false true false true false 25000 1450000 0 1450000 true 0 0 0 0 0 false Pine Bluffs Hotel, LLC Justin Fornstrom Justin Fornstrom Managing Member/Authorized Signature member 2020-01-27