0001096906-21-003070.txt : 20211227 0001096906-21-003070.hdr.sgml : 20211227 20211227141807 ACCESSION NUMBER: 0001096906-21-003070 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211227 DATE AS OF CHANGE: 20211227 EFFECTIVENESS DATE: 20211227 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Country Club 200, LLC CENTRAL INDEX KEY: 0001901409 IRS NUMBER: 872840284 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-426785 FILM NUMBER: 211520021 BUSINESS ADDRESS: STREET 1: 633 E FERNHURST DR STREET 2: SUITE 1210 CITY: KATY STATE: TX ZIP: 77450 BUSINESS PHONE: 832-247-2570 MAIL ADDRESS: STREET 1: 633 E FERNHURST DR STREET 2: SUITE 1210 CITY: KATY STATE: TX ZIP: 77450 D 1 primary_doc.xml X0708 D LIVE 0001901409 Country Club 200, LLC 633 E FERNHURST DR SUITE 1210 KATY TX TEXAS 77450 832-247-2570 TEXAS None None Limited Liability Company true 2021 Kyle Jones 633 E Fernhurst Dr Suite 1201 Katy TX TEXAS 77450 Executive Officer Lane Kawaoka PO Box 201399 Honolulu HI HAWAII 96820 Executive Officer Residential No Revenues 06b false 2021-12-14 false true false 20000 7000000 6116850 883150 true 10 119 0 0 631250 true false Country Club 200, LLC /s/ Kyle Jones Kyle Jones Manager of Issuers Manager 2021-12-18