0001832908-23-000001.txt : 20230601 0001832908-23-000001.hdr.sgml : 20230601 20230531203546 ACCESSION NUMBER: 0001832908-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230601 DATE AS OF CHANGE: 20230531 EFFECTIVENESS DATE: 20230601 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Columbia Pacific International Senior Living, LP CENTRAL INDEX KEY: 0001832908 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-483069 FILM NUMBER: 23982767 BUSINESS ADDRESS: STREET 1: 1910 FAIRVIEW AVENUE, EAST STREET 2: SUITE 500 CITY: SEATTLE STATE: WA ZIP: 98102 BUSINESS PHONE: 206792-5336 MAIL ADDRESS: STREET 1: 1910 FAIRVIEW AVENUE, EAST STREET 2: SUITE 500 CITY: SEATTLE STATE: WA ZIP: 98102 D 1 primary_doc.xml X0708 D LIVE 0001832908 Columbia Pacific International Senior Living, LP 1910 FAIRVIEW AVENUE, EAST SUITE 500 SEATTLE WA WASHINGTON 98102 206-792-5336 DELAWARE None None Limited Partnership true 2020 N/A Columbia Pacific GP, LLC 1910 Fairview Avenue, East Suite 500 Seattle WA WASHINGTON 98102 Director General Partner of Issuer N/A Columbia Pacific Management, Inc. 1910 Fairview Avenue, East Suite 500 Seattle WA WASHINGTON 98102 Director Manager of General Partner of Issuer Brandon D Baty 1910 Fairview Avenue, East Suite 500 Seattle WA WASHINGTON 98102 Executive Officer President of Manager of General Partner of Issuer Andy Baker 1910 Fairview Avenue, East Suite 500 Seattle WA WASHINGTON 98102 Executive Officer Executive Officer of Manager of General Partner of Issuer Nate McLemore 1910 Fairview Avenue, East Suite 500 Seattle WA WASHINGTON 98102 Executive Officer Executive Officer of Manager of General Partner of Issuer Other Decline to Disclose 06b false true false true false 250000 30000000 0 30000000 false 0 0 0 0 Columbia Pacific Management, Inc. and certain persons listed in Item 3 may provide certain development and operational services to the Issuer and receive an asset management fee. The amount of such fees cannot be determined at this time. false Columbia Pacific International Senior Living, LP /s/ Brandon D. Baty Brandon D. Baty President of Manager of General Partner of Issuer 2023-05-24