0001640391-15-000002.txt : 20150423 0001640391-15-000002.hdr.sgml : 20150423 20150423145820 ACCESSION NUMBER: 0001640391-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150423 DATE AS OF CHANGE: 20150423 EFFECTIVENESS DATE: 20150423 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lavender Senior Living LLC CENTRAL INDEX KEY: 0001640392 IRS NUMBER: 465576401 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-238569 FILM NUMBER: 15788205 BUSINESS ADDRESS: STREET 1: 12760 HIGH BLUFF DRIVE STREET 2: SUITE 120 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: 8587647120 MAIL ADDRESS: STREET 1: 12760 HIGH BLUFF DRIVE STREET 2: SUITE 120 CITY: SAN DIEGO STATE: CA ZIP: 92130 D 1 primary_doc.xml X0707 D LIVE 0001640392 Lavender Senior Living LLC 12760 HIGH BLUFF DRIVE SUITE 120 SAN DIEGO CA CALIFORNIA 92130 8587647120 CALIFORNIA None None Limited Liability Company true 2014 Ajay K Gupta 12760 High Bluff Drive Suite 120 San Diego CA CALIFORNIA 92130 Executive Officer Director Jeffrey Scott McCulloch 12760 High Bluff Drive Suite 120 San Diego CA CALIFORNIA 92130 Executive Officer Director Brian Krause 12760 High Bluff Drive Suite 120 San Diego CA CALIFORNIA 92130 Executive Officer Director Commercial Decline to Disclose 06b false 2014-03-31 true true false 0 1939684 1939684 0 false 11 0 0 0 false Lavender Senior Living LLC Jill R. Young Jill R. Young CCO/Operations Manager 2015-04-23