0001752464-18-000001.txt : 20180917 0001752464-18-000001.hdr.sgml : 20180917 20180917142945 ACCESSION NUMBER: 0001752464-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180917 DATE AS OF CHANGE: 20180917 EFFECTIVENESS DATE: 20180917 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ASC OVERLAKE LLC CENTRAL INDEX KEY: 0001752464 IRS NUMBER: 000000000 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-321503 FILM NUMBER: 181073174 BUSINESS ADDRESS: STREET 1: 415 118TH AVE SE CITY: BELLEVUE STATE: WA ZIP: 98005 BUSINESS PHONE: 425-895-7635 MAIL ADDRESS: STREET 1: 415 118TH AVE SE CITY: BELLEVUE STATE: WA ZIP: 98005 D 1 primary_doc.xml X0708 D LIVE 0001752464 ASC OVERLAKE LLC 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 425-895-7635 WASHINGTON None None Limited Liability Company true 2013 DWAYNE J CLARK 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Executive Officer Director WALTER JOSSART 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Executive Officer JERRY MEYER 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC EDDIE POPLAWSKI 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC RICHARD TAIT 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC ASHLEY REA 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC ADAM CLARK 415 118TH AVE SE BELLEVUE WA WASHINGTON 98005 Director MANAGER OF THE PARENT ENTITY, AEGIS SENIOR COMMUNITIES LLC Other Health Care Decline to Disclose 06b false 2018-08-31 false true false 0 20225000 20225000 0 false 69 0 0 0 false ASC OVERLAKE LLC /S/DWAYNE J CLARK DWAYNE J CLARK CFO OF MANAGER 2018-09-14