0001970247-23-000002.txt : 20230321 0001970247-23-000002.hdr.sgml : 20230321 20230321152811 ACCESSION NUMBER: 0001970247-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230321 DATE AS OF CHANGE: 20230321 EFFECTIVENESS DATE: 20230321 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ephraim Utah Hotel, LLC CENTRAL INDEX KEY: 0001970247 IRS NUMBER: 884012426 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-476501 FILM NUMBER: 23749492 BUSINESS ADDRESS: STREET 1: 193 WEST 300 SOUTH CITY: EPHRAIM STATE: UT ZIP: 84627 BUSINESS PHONE: 435-469-0681 MAIL ADDRESS: STREET 1: 193 WEST 300 SOUTH CITY: EPHRAIM STATE: UT ZIP: 84627 D 1 primary_doc.xml X0708 D LIVE 0001970247 Ephraim Utah Hotel, LLC 193 WEST 300 SOUTH EPHRAIM UT UTAH 84627 435-469-0681 UTAH None None Limited Liability Company true 2022 Jeremiah B Blain 193 West 300 South Ephraim UT UTAH 84627 Promoter Daniel J Drake 4237 East 410 North Rigby ID IDAHO 83442 Promoter Jeremy Griesbach 980 American Drive Neenah WI WISCONSIN 54956 Promoter Tim Shefchik 980 American Drive Neenah WI WISCONSIN 54956 Promoter Lodging and Conventions Decline to Disclose 06b false true false true false 50000 None None None None None None None XX Unknown None AZ ARIZONA ID IDAHO MN MINNESOTA ND NORTH DAKOTA UT UTAH WY WYOMING false 9800000 0 9800000 true 0 0 0 0 0 false Ephraim Utah Hotel, LLC Jeremiah B. Blain Jeremiah B. Blain By POA from DJK Lodging, LLC, Manager 2023-03-21