0001903633-22-000001.txt : 20220110 0001903633-22-000001.hdr.sgml : 20220110 20220110115304 ACCESSION NUMBER: 0001903633-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20220110 DATE AS OF CHANGE: 20220110 EFFECTIVENESS DATE: 20220110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provident ISF Holdings Investors, LLC CENTRAL INDEX KEY: 0001903633 IRS NUMBER: 873674130 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-428564 FILM NUMBER: 22520415 BUSINESS ADDRESS: STREET 1: 10210 N CENTRAL EXPWY SUITE 300 CITY: DALLAS STATE: TX ZIP: 75231 BUSINESS PHONE: 9723854100 MAIL ADDRESS: STREET 1: 10210 N CENTRAL EXPWY SUITE 300 CITY: DALLAS STATE: TX ZIP: 75231 D 1 primary_doc.xml X0708 D LIVE 0001903633 Provident ISF Holdings Investors, LLC 10210 N CENTRAL EXPWY SUITE 300 DALLAS TX TEXAS 75231 9723854100 TEXAS None None Limited Liability Company true 2021 Leon J. Backes 10210 N Central Expwy Suite 300 Dallas TX TEXAS 75231 Executive Officer President and Treasurer Julian Hawes, Jr. 10210 N Central Expwy Suite 300 Dallas TX TEXAS 75231 Executive Officer Vice President and Secretary Brent Wille 10210 N Central Expwy Suite 300 Dallas TX TEXAS 75231 Executive Officer Vice President Other Real Estate Decline to Disclose 06c false 2021-12-21 false true false 25000 Indefinite 19559501 Indefinite false 343 0 0 0 false Provident ISF Holdings Investors, LLC Brent Wille Brent Wille Vice President 2022-01-10