0001466929-13-000001.txt : 20130323 0001466929-13-000001.hdr.sgml : 20130323 20130322165014 ACCESSION NUMBER: 0001466929-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130322 DATE AS OF CHANGE: 20130322 EFFECTIVENESS DATE: 20130322 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Assisted Living America V, LLC CENTRAL INDEX KEY: 0001572669 IRS NUMBER: 455333950 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-193824 FILM NUMBER: 13711869 BUSINESS ADDRESS: STREET 1: 4422 OAK PLACE DRIVE CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91362 BUSINESS PHONE: 866-669-6736 MAIL ADDRESS: STREET 1: 4422 OAK PLACE DRIVE CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91362 D 1 primary_doc.xml X0706 D LIVE 0001572669 Assisted Living America V, LLC 4422 OAK PLACE DRIVE WESTLAKE VILLAGE CA CALIFORNIA 91362 866-669-6736 CALIFORNIA None None Limited Liability Company true 2012 Charles L. Weber 4422 Oak Place Drive Westlake Village CA CALIFORNIA 91362 Executive Officer Director Promoter Dean R. Isaacson 3655 Elm Street Long Beach CA CALIFORNIA 90807 Executive Officer Promoter Mr. Isaacson has been appointed by the Manager as an Agent of the Applicant for purposes of managing the day-to-day operations of the Applicant. Other Real Estate Decline to Disclose 06 false 2013-03-11 false true true 0 Indefinite 0 Indefinite Securities of the Applicant are only being issued by virtue of a merger of constituent entities into the Applicant(surviving entity) and upon the exchange of securities of the disappearing constituent entities into securities of the Applicant. false 54 0 0 0 false Assisted Living America V, LLC Charles L. Weber Charles L. Weber Manager 2013-03-20