0001900832-22-000001.txt : 20220201
0001900832-22-000001.hdr.sgml : 20220201
20220201130734
ACCESSION NUMBER: 0001900832-22-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20220201
DATE AS OF CHANGE: 20220201
EFFECTIVENESS DATE: 20220201
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: ASC Lake Hills LLC
CENTRAL INDEX KEY: 0001900832
IRS NUMBER: 851050734
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-431702
FILM NUMBER: 22577935
BUSINESS ADDRESS:
STREET 1: 415 118TH AVENUE SE
CITY: BELLEVUE
STATE: WA
ZIP: 98005
BUSINESS PHONE: (425) 861-9993
MAIL ADDRESS:
STREET 1: 415 118TH AVENUE SE
CITY: BELLEVUE
STATE: WA
ZIP: 98005
D
1
primary_doc.xml
X0708
D
LIVE
0001900832
ASC Lake Hills LLC
415 118TH AVENUE SE
BELLEVUE
WA
WASHINGTON
98005
(425) 861-9993
WASHINGTON
ASC Bellevue-16th Street LLC
None
Limited Liability Company
true
2020
Dwayne
Clark
415 118th Avenue SE
Bellevue
WA
WASHINGTON
98005
Executive Officer
Promoter
Jerry
C.
Meyer
415 118th Avenue SE
Bellevue
WA
WASHINGTON
98005
Executive Officer
Edward
J.
Poplawski
415 118th Avenue SE
Bellevue
WA
WASHINGTON
98005
Executive Officer
Adam
Clark
415 118th Avenue SE
Bellevue
WA
WASHINGTON
98005
Executive Officer
Ashley
Rea
415 118th Avenue SE
Bellevue
WA
WASHINGTON
98005
Executive Officer
Other Health Care
Decline to Disclose
- 06b
false
2022-01-25
false
true
false
0
6940000
6940000
0
false
21
0
0
0
false
ASC Lake Hills LLC
/s/ Ben Freeburg
Ben Freeburg
Authorized Signatory
2022-01-31