0001214659-22-000075.txt : 20220103
0001214659-22-000075.hdr.sgml : 20220103
20220103135716
ACCESSION NUMBER: 0001214659-22-000075
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06c
FILED AS OF DATE: 20220103
DATE AS OF CHANGE: 20220103
EFFECTIVENESS DATE: 20220103
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: PHYSICIANS SENIOR LIVING FUND LLC
CENTRAL INDEX KEY: 0001894166
IRS NUMBER: 872119438
STATE OF INCORPORATION: AZ
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-427627
FILM NUMBER: 22501552
BUSINESS ADDRESS:
STREET 1: 9375 E SHEA BLV
STREET 2: SUITE 100
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85260
BUSINESS PHONE: 4808008885
MAIL ADDRESS:
STREET 1: 9375 E SHEA BLV
STREET 2: SUITE 100
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85260
D
1
primary_doc.xml
X0708
D
LIVE
0001894166
PHYSICIANS SENIOR LIVING FUND LLC
9375 E SHEA BLV
SUITE 100
SCOTTSDALE
AZ
ARIZONA
85260
4808008885
ARIZONA
None
None
Limited Liability Company
true
2021
Tim
Johnston
9375 E SHEA BLVD
SUITE 100
SCOTTSDALE
AZ
ARIZONA
85260
Executive Officer
Jeff
Giedt
9375 E SHEA BLVD
SUITE 100
SCOTTSDALE
AZ
ARIZONA
85260
Director
SENDHILL
KRISHNAN
9375 E SHEA BLVD
SUITE 100
SCOTTSDALE
AZ
ARIZONA
85260
Director
Pooled Investment Fund
Private Equity Fund
false
Decline to Disclose
- 06c
false
2021-10-29
true
true
true
500000
10000000
300000
9700000
false
2
0
0
200000
true
false
PHYSICIANS SENIOR LIVING FUND LLC
/s/ Tim Johnston
Tim Johnston
Member and Manager
2022-01-03