0001873383-21-000001.txt : 20210720 0001873383-21-000001.hdr.sgml : 20210720 20210720123743 ACCESSION NUMBER: 0001873383-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(5) FILED AS OF DATE: 20210720 DATE AS OF CHANGE: 20210720 EFFECTIVENESS DATE: 20210720 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provident CS Hospitality Holdings Investors 1, LLC CENTRAL INDEX KEY: 0001873383 IRS NUMBER: 870959858 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-406924 FILM NUMBER: 211100121 BUSINESS ADDRESS: STREET 1: 10210 N CENTRAL EXPWY SUITE 300 CITY: DALLAS STATE: TX ZIP: 75231 BUSINESS PHONE: 9723854100 MAIL ADDRESS: STREET 1: 10210 N CENTRAL EXPWY SUITE 300 CITY: DALLAS STATE: TX ZIP: 75231 D 1 primary_doc.xml X0708 D LIVE 0001873383 Provident CS Hospitality Holdings Investors 1, LLC 10210 N CENTRAL EXPWY SUITE 300 DALLAS TX TEXAS 75231 9723854100 TEXAS None None Limited Liability Company true 2021 Leon J. Backes 10210 N Central Expwy Suite 300 Dallas TX TEXAS 75231 Executive Officer President and Treasurer Julian Hawes, Jr. 10210 N Central Expwy Suite 300 Dallas TX TEXAS 75231 Executive Officer Vice President and Secretary Brent Wille 10210 N Central Expwy Suite 300 Dallas TX TEXAS 75231 Executive Officer Vice President Other Real Estate Decline to Disclose 06c 3C 3C.5 false 2021-07-08 false true true false 25000 Indefinite 5226250 Indefinite false 79 0 0 0 false Provident CS Hospitality Holdings Investors 1, LLC Brent Wille Brent Wille Vice President 2021-07-20