0001178858-23-000006.txt : 20230915 0001178858-23-000006.hdr.sgml : 20230915 20230915115404 ACCESSION NUMBER: 0001178858-23-000006 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230915 DATE AS OF CHANGE: 20230915 EFFECTIVENESS DATE: 20230915 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Plainfield Senior Holdings QOZB, LLC CENTRAL INDEX KEY: 0001993245 IRS NUMBER: 932472081 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-492217 FILM NUMBER: 231257276 BUSINESS ADDRESS: STREET 1: 8435 KEYSTONE CROSSING BOULEVARD STREET 2: SUITE 140 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 BUSINESS PHONE: (317) 418-2439 MAIL ADDRESS: STREET 1: 8435 KEYSTONE CROSSING BOULEVARD STREET 2: SUITE 140 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 D 1 primary_doc.xml X0708 D LIVE 0001993245 Plainfield Senior Holdings QOZB, LLC 8435 KEYSTONE CROSSING BOULEVARD SUITE 140 INDIANAPOLIS IN INDIANA 46240 (317) 418-2439 INDIANA None None Limited Liability Company true 2023 LLC Plainfield Senior Living, 8435 Keystone Crossing Boulevard Suite 140 Indianapolis IN INDIANA 46240 Executive Officer Michael Mattingly 8435 Keystone Crossing Boulevard Suite 140 Indianapolis IN INDIANA 46240 Executive Officer Commercial Decline to Disclose 06b false 2023-09-06 false true false 25000 10000000 9965653 34347 false 76 0 0 0 false Plainfield Senior Holdings QOZB, LLC /s/ Michael Mattingly Michael Mattingly GM of Plainfield Senior Living, LLC, Manager of Issuer 2023-09-15