0001605410-14-000001.txt : 20140414 0001605410-14-000001.hdr.sgml : 20140414 20140414161427 ACCESSION NUMBER: 0001605410-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140414 DATE AS OF CHANGE: 20140414 EFFECTIVENESS DATE: 20140414 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ASC Queen Anne Galer LLC CENTRAL INDEX KEY: 0001605410 IRS NUMBER: 611698557 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-215536 FILM NUMBER: 14762709 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 X0707 D LIVE 0001605410 ASC Queen Anne Galer 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 RD. REDMOND WA WASHINGTON 98052 Executive Officer Manager of Aegis Senior Communities LLC, the manager of Issuer Jerry C. Meyer 17602 NE UNION HILL RD. REDMOND WA WASHINGTON 98052 Executive Officer Manager of Aegis Senior Communities LLC, the manager of Issuer David R. Ford 17602 NE UNION HILL RD. REDMOND WA WASHINGTON 98052 Executive Officer Manager of Aegis Senior Communities LLC, the manager of Issuer David M. Eskenazy 17602 NE UNION HILL RD. REDMOND WA WASHINGTON 98052 Executive Officer Manager of Aegis Senior Communities LLC, the manager of Issuer Eddie Poplawski 17602 NE UNION HILL RD. REDMOND WA WASHINGTON 98052 Executive Officer Manager of Aegis Senior Communities LLC, the manager of Issuer Other Health Care Decline to Disclose 06b false 2013-10-29 false true true Class A Membership Interests false 0 6660000 6660000 0 false 34 0 0 650000 true Development and management fees paid to Aegis Senior Communities LLC, the manager of Issuer false ASC Queen Anne Galer LLC /s/ David R. Ford David R. Ford Manager of Aegis Senior Communities LLC, manager of Issuer 2014-04-14