0001722331-17-000001.txt : 20171113 0001722331-17-000001.hdr.sgml : 20171110 20171113103711 ACCESSION NUMBER: 0001722331-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171113 DATE AS OF CHANGE: 20171113 EFFECTIVENESS DATE: 20171113 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CCRC of Lenexa, LLC CENTRAL INDEX KEY: 0001722331 IRS NUMBER: 822506513 STATE OF INCORPORATION: KS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-298508 FILM NUMBER: 171193998 BUSINESS ADDRESS: STREET 1: 11827 W. 112TH STREET, SUITE 103 CITY: OVERLAND PARK STATE: KS ZIP: 66210 BUSINESS PHONE: 913-599-5705 MAIL ADDRESS: STREET 1: 11827 W. 112TH STREET, SUITE 103 CITY: OVERLAND PARK STATE: KS ZIP: 66210 D 1 primary_doc.xml X0708 D LIVE 0001722331 CCRC of Lenexa, LLC 11827 W. 112TH STREET, SUITE 103 OVERLAND PARK KS KANSAS 66210 913-599-5705 KANSAS None None Limited Liability Company true 2017 Devlopment, LLC Scenic 11827 W 112th Street, Suite 103 Overland Park KS KANSAS 66210 Director Manager of CCRC of Lenexa, LLC Gilbert Wood 11827 W 112th Street, Suite 103 Overland Park KS KANSAS 66210 Executive Officer CEO of Scenic Development, LLC Wayne Anderson 11827 W 112th Street, Suite 103 Overland Park KS KANSAS 66210 Director Vice President of Scenic Development, LLC Scott Gulledge 11827 W 112th Street, Suite 103 Overland Park KS KANSAS 66210 Director COO of Scenic Development, LLC Jordan Anderson 11827 W 112th Street, Suite 103 Overland Park KS KANSAS 66210 Executive Officer Vice President of CCRC of Lenexa, LLC Other Health Care Decline to Disclose 06b false 2017-10-20 false true false 64000 4480000 3936000 544000 false 45 0 0 0 false CCRC of Lenexa, LLC /s/ Gilbert R. Wood Gilbert R. Wood Manager of CCRC of Lenexa, LLC 2017-11-06