0001528364-11-000001.txt : 20110825
0001528364-11-000001.hdr.sgml : 20110825
20110825155416
ACCESSION NUMBER: 0001528364-11-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506
FILED AS OF DATE: 20110825
DATE AS OF CHANGE: 20110825
EFFECTIVENESS DATE: 20110825
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: ASC Madison LLC
CENTRAL INDEX KEY: 0001528364
IRS NUMBER: 452822598
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-164970
FILM NUMBER: 111056638
BUSINESS ADDRESS:
STREET 1: 17602 NE UNION HILL RD.
CITY: REDMOND
STATE: WA
ZIP: 98052
BUSINESS PHONE: (425) 861-9993
MAIL ADDRESS:
STREET 1: 17602 NE UNION HILL RD.
CITY: REDMOND
STATE: WA
ZIP: 98052
D
1
primary_doc.xml
X0704
D
LIVE
0001528364
ASC Madison LLC
17602 NE UNION HILL RD.
REDMOND
WA
WASHINGTON
98052
(425) 861-9993
WASHINGTON
None
None
Limited Liability Company
true
2011
Dwayne
J.
Clark
17602 NE Union Hill Road
Redmond
WA
WASHINGTON
98052
Executive Officer
Manager of Aegis Senior Communities LLC, the manager of Issuer
Jerry
C.
Meyer
17602 NE Union Hill Road
Redmond
WA
WASHINGTON
98052
Executive Officer
Manager of Aegis Senior Communities LLC, the manager of Issuer
David
R.
Ford
17602 NE Union Hill Road
Redmond
WA
WASHINGTON
98052
Executive Officer
Manager of Aegis Senior Communities LLC, the manager of Issuer
Other Health Care
No Revenues
- 06
false
2011-08-18
false
true
true
Class A Membership Interests
false
200000
8750000
1325000
7425000
false
8
0
0
0
false
ASC Madison LLC
/s/ David R. Ford
David R. Ford
Manager of Aegis Senior Communities LLC, Manager of Issuer
2011-08-25