0000892303-23-000003.txt : 20230322 0000892303-23-000003.hdr.sgml : 20230322 20230322165028 ACCESSION NUMBER: 0000892303-23-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230322 DATE AS OF CHANGE: 20230322 EFFECTIVENESS DATE: 20230322 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Excelsior Lost Mountain CIV LLC CENTRAL INDEX KEY: 0001970548 IRS NUMBER: 922228929 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-476666 FILM NUMBER: 23753514 BUSINESS ADDRESS: STREET 1: 104 WOODMONT BLVD., SUITE 120 CITY: NASHVILLE STATE: TN ZIP: 37205 BUSINESS PHONE: 615-800-5952 MAIL ADDRESS: STREET 1: 104 WOODMONT BLVD., SUITE 120 CITY: NASHVILLE STATE: TN ZIP: 37205 D 1 primary_doc.xml X0708 D LIVE 0001970548 Excelsior Lost Mountain CIV LLC 104 WOODMONT BLVD., SUITE 120 NASHVILLE TN TENNESSEE 37205 615-800-5952 DELAWARE None None Limited Liability Company true 2022 Brian C. Adams 104 Woodmont Blvd., Suite 120 Nashville TN TENNESSEE 37205 Executive Officer Commercial Decline to Disclose 06b false true false true false 25000 2630000 0 2630000 false 0 0 0 0 false Excelsior Lost Mountain CIV LLC Brian C. Adams Brian C. Adams President 2023-03-22