0001805911-20-000001.txt : 20200312 0001805911-20-000001.hdr.sgml : 20200312 20200312144442 ACCESSION NUMBER: 0001805911-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200312 DATE AS OF CHANGE: 20200312 EFFECTIVENESS DATE: 20200312 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Millersburg Senior Living, LLC CENTRAL INDEX KEY: 0001805911 IRS NUMBER: 843659452 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-362690 FILM NUMBER: 20708370 BUSINESS ADDRESS: STREET 1: 8230 PITTSBURG AVE NW CITY: NORTH CANTON STATE: OH ZIP: 44720 BUSINESS PHONE: 3304978686 MAIL ADDRESS: STREET 1: 8230 PITTSBURG AVE NW CITY: NORTH CANTON STATE: OH ZIP: 44720 D 1 primary_doc.xml X0708 D LIVE 0001805911 Millersburg Senior Living, LLC 8230 PITTSBURG AVE NW NORTH CANTON OH OHIO 44720 3304978686 OHIO None None Limited Liability Company true 2019 Brian R. Spring 8230 Pittsburg Ave. NW North Canton OH OHIO 44720 Executive Officer Daniel J. DeHoff 821 South Main Street North Canton OH OHIO 44720 Executive Officer Wililam J. Lemmon 8230 Pittsburg Ave. NW North Canton OH OHIO 44720 Promoter Robert J. DeHoff 821 South Main Street North Canton OH OHIO 44720 Promoter Anthony J. Perez 8230 Pittsburg Ave. NW North Canton OH OHIO 44720 Promoter Commercial Decline to Disclose 06b false true false true false 4000 1810410 0 1810410 false 0 0 0 100000 true The executive officers will be reimbursed for expenses incurred in connection with the formation of the Company in an amount estimated to be $100,000. false Millersburg Senior Living, LLC Brian R. Spring Brian R. Spring Manager 2020-03-12