0000892303-22-000003.txt : 20220222 0000892303-22-000003.hdr.sgml : 20220222 20220222143520 ACCESSION NUMBER: 0000892303-22-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220222 DATE AS OF CHANGE: 20220222 EFFECTIVENESS DATE: 20220222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Excelsior Sandy Springs CIV LLC CENTRAL INDEX KEY: 0001912267 IRS NUMBER: 874327222 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-434445 FILM NUMBER: 22657576 BUSINESS ADDRESS: STREET 1: 104 WOODMONT BLVD., SUITE 203 CITY: NASHVILLE STATE: TN ZIP: 37205 BUSINESS PHONE: 615-800-5952 MAIL ADDRESS: STREET 1: 104 WOODMONT BLVD., SUITE 203 CITY: NASHVILLE STATE: TN ZIP: 37205 D 1 primary_doc.xml X0708 D LIVE 0001912267 Excelsior Sandy Springs CIV LLC 104 WOODMONT BLVD., SUITE 203 NASHVILLE TN TENNESSEE 37205 615-800-5952 DELAWARE None None Limited Liability Company true 2021 Brian C. Adams 104 Woodmont Blvd., Suite 203 Nashville TN TENNESSEE 37205 Executive Officer Commercial Decline to Disclose 06b false true false true false 50000 3010000 0 3010000 false 0 0 0 0 false Excelsior Sandy Springs CIV LLC Brian C. Adams Brian C. Adams President 2022-02-22