0001961374-23-000001.txt : 20230403 0001961374-23-000001.hdr.sgml : 20230403 20230403143512 ACCESSION NUMBER: 0001961374-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230403 DATE AS OF CHANGE: 20230403 EFFECTIVENESS DATE: 20230403 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CCRC of Lee's Summit, LLC CENTRAL INDEX KEY: 0001961374 IRS NUMBER: 920420624 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-477743 FILM NUMBER: 23792062 BUSINESS ADDRESS: STREET 1: 6731 W 121ST STREET, SUITE 100 CITY: OVERLAND PARK STATE: KS ZIP: 66209 BUSINESS PHONE: 913-599-5705 MAIL ADDRESS: STREET 1: 6731 W 121ST STREET, SUITE 100 CITY: OVERLAND PARK STATE: KS ZIP: 66209 D 1 primary_doc.xml X0708 D LIVE 0001961374 CCRC of Lee's Summit, LLC 6731 W 121ST STREET, SUITE 100 OVERLAND PARK KS KANSAS 66209 913-599-5705 MISSOURI None None Limited Liability Company true 2021 Scenic Development LLC 6731 W. 121st Street Suite 100 Overland Park KS KANSAS 66209 Director Manager of CCRC of Lee's Summit, LLC Gilbert R. Wood 6731 W. 121st Street Suite 100 Overland Park KS KANSAS 66209 Executive Officer Vice President Wayne Anderson 6731 W. 121 Street Suite 100 Overland Park KS KANSAS 66209 Executive Officer Principal of Scenic Development, LLC, Manager Jordan Anderson 6731 W. 121 Street Suite 100 Overland Park KS KANSAS 66209 Executive Officer President Scott Gulledge 6731 W. 121 Street Suite 100 Overland Park KS KANSAS 66209 Executive Officer Principal of Scenic Development, LLC, Manager Travis Gulledge 6731 W. 121 Street Suite 100 Overland Park KS KANSAS 66209 Executive Officer Principal of Scenic Development, LLC, Manager Other Health Care Decline to Disclose 06b false 2023-03-31 false true true false 80000 14640000 11309082 3330918 false 51 0 0 0 false CCRC of Lee's Summit, LLC /s/ Gilbert R. Wood Gilbert R. Wood Vice President 2023-03-31