0001209191-18-018726.txt : 20180312
0001209191-18-018726.hdr.sgml : 20180312
20180312100918
ACCESSION NUMBER: 0001209191-18-018726
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180302
FILED AS OF DATE: 20180312
DATE AS OF CHANGE: 20180312
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEEDLE BEN R JR
CENTRAL INDEX KEY: 0001190574
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12996
FILM NUMBER: 18682407
MAIL ADDRESS:
STREET 1: 3841 GREEN HILLS VILLAGE DR
CITY: NASHVILLE
STATE: TN
ZIP: 37215
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Diversicare Healthcare Services, Inc.
CENTRAL INDEX KEY: 0000919956
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 621559667
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1621 GALLERIA BLVD.
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 6157717575
MAIL ADDRESS:
STREET 1: 1621 GALLERIA BLVD.
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
FORMER COMPANY:
FORMER CONFORMED NAME: ADVOCAT INC
DATE OF NAME CHANGE: 19940309
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2018-03-02
1
0000919956
Diversicare Healthcare Services, Inc.
DVCR
0001190574
LEEDLE BEN R JR
1621 GALLERIA BOULEVARD
BRENTWOOD
TN
37027
1
0
0
0
/s/ Ben R. Leedle, Jr.
2018-03-12