0002053010-25-000001.txt : 20250213 0002053010-25-000001.hdr.sgml : 20250213 20250213095854 ACCESSION NUMBER: 0002053010-25-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20250213 DATE AS OF CHANGE: 20250213 EFFECTIVENESS DATE: 20250213 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CCRC of Tiffin, LLC CENTRAL INDEX KEY: 0002053010 ORGANIZATION NAME: IRS NUMBER: 994861737 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-538163 FILM NUMBER: 25617772 BUSINESS ADDRESS: STREET 1: 6731 W 121ST STE 100 CITY: OVERLAND PARK STATE: KS ZIP: 66209 BUSINESS PHONE: 9135595705 MAIL ADDRESS: STREET 1: 6731 W 121ST STE 100 CITY: OVERLAND PARK STATE: KS ZIP: 66209 D 1 primary_doc.xml X0708 D LIVE 0002053010 CCRC of Tiffin, LLC 6731 W 121ST STE 100 OVERLAND PARK KS KANSAS 66209 9135595705 IOWA None None Limited Liability Company true 2023 NA Scenic Development, LLC 6731 W. 121st Street STE 100 Overland Park KS KANSAS 66209 Director Manager of Issuer Gilbert Wood 6731 W. 121st Street STE 100 Suite 100 Overland Park KS KANSAS 66209 Executive Officer Vice President Wayne Anderson 6731 W. 121st Street STE 100 Overland Park KS KANSAS 66209 Promoter Principal of Scenic Development, LLC, Manager Jordan Anderson 6731 W. 121st Street STE 100 Overland Park KS KANSAS 66209 Executive Officer President Scott Gulledge 6731 W. 121st Street STE 100 Overland Park KS KANSAS 66209 Promoter Principal of Scenic Development, LLC, Manager Travis Gulledge 6731 W. 121st Street STE 100 Overland Park KS KANSAS 66209 Promoter Principal of Scenic Development, LLC, Manager Other Health Care Decline to Disclose 06b false true false true false 100000 17100000 0 17100000 false 0 0 0 0 false CCRC of Tiffin, LLC Jordan Anderson Jordan Anderson President 2025-02-12