0001817190-21-000003.txt : 20210319 0001817190-21-000003.hdr.sgml : 20210319 20210319131910 ACCESSION NUMBER: 0001817190-21-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210319 DATE AS OF CHANGE: 20210319 EFFECTIVENESS DATE: 20210319 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Livewell Assisted Living, Inc CENTRAL INDEX KEY: 0001817190 IRS NUMBER: 455340941 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-392878 FILM NUMBER: 21757388 BUSINESS ADDRESS: STREET 1: 6720 PAULINE DRIVE CITY: CHAPEL HILL STATE: NC ZIP: 27514 BUSINESS PHONE: 2138419622 MAIL ADDRESS: STREET 1: 6720 PAULINE DRIVE CITY: CHAPEL HILL STATE: NC ZIP: 27514 D 1 primary_doc.xml X0708 D LIVE 0001817190 Livewell Assisted Living, Inc 6720 PAULINE DRIVE CHAPEL HILL NC NORTH CAROLINA 27514 2138419622 NORTH CAROLINA GNO Care Homes, Inc. A Good Life Family Care Home, Inc. None Corporation true Justin Beckett 6720 Pauline Drive Chapel Hill NC NORTH CAROLINA 27514 Executive Officer Director Diane Beckett 6720 Pauline Drive Chapel Hill NC NORTH CAROLINA 27514 Executive Officer Other Decline to Disclose 06b false 2021-03-17 false true false 0 75000 75000 0 false 1 0 0 0 false Livewell Assisted Living, Inc /s/ Peter D. Singh Jr. Peter D. Singh Jr. Attorney-in-fact 2021-03-19