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