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