0001716297-17-000001.txt : 20170907 0001716297-17-000001.hdr.sgml : 20170907 20170907122739 ACCESSION NUMBER: 0001716297-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170907 DATE AS OF CHANGE: 20170907 EFFECTIVENESS DATE: 20170907 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Claiborne at Shoe Creek, LLC CENTRAL INDEX KEY: 0001716297 IRS NUMBER: 812914848 STATE OF INCORPORATION: MS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-294207 FILM NUMBER: 171073361 BUSINESS ADDRESS: STREET 1: 11 PARKWAY BOULEVARD CITY: HATTIESBURG STATE: MS ZIP: 39401 BUSINESS PHONE: 601-336-5050 MAIL ADDRESS: STREET 1: 11 PARKWAY BOULEVARD CITY: HATTIESBURG STATE: MS ZIP: 39401 D 1 primary_doc.xml X0708 D LIVE 0001716297 Claiborne at Shoe Creek, LLC 11 PARKWAY BOULEVARD HATTIESBURG MS MISSISSIPPI 39401 601-336-5050 MISSISSIPPI None None Limited Liability Company true 2016 Robert O. Tatum, Jr. 11 Parkway Boulevard Hattiesburg MS MISSISSIPPI 39401 Executive Officer Promoter CR Properties, LLC CR Properties, LLC 11 Parkway Boulevard Hattiesburg MS MISSISSIPPI 39401 Promoter Other Health Care Decline to Disclose 06b false 2017-08-24 false true false 0 5400000 302400 5097600 false 1 0 0 0 false Claiborne at Shoe Creek, LLC Clay W. Escude Clay W. Escude Attorney duly authorized by the Manager of the issuer. 2017-09-07