Form D Raw Data - Electronic Filing Depository

EFDID: 116311EFD: Raw Data

Issuer: Beltline Senior Care Center Holdings, LLC (0001624643) - D

Accession: 0000911959-14-000029 () (EDGAR Files) (Form D)

Edgar Posted: Nov. 14, 2014
EFD Posted: Nov. 14, 2014

- < edgarSubmission >

< schemaVersion > X0707 </ schemaVersion >

< submissionType > D </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001624643 </ cik >

< entityName > Beltline Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ primaryIssuer >

- < issuerList >

- < issuer >

< cik > 0001624633 </ cik >

< entityName > Whitesboro Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624635 </ cik >

< entityName > Vintage Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624636 </ cik >

< entityName > RW Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624684 </ cik >

< entityName > Brinker Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624683 </ cik >

< entityName > Fairpark Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624681 </ cik >

< entityName > HG Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624679 </ cik >

< entityName > Mullican Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624677 </ cik >

< entityName > Pleasantmanor Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624675 </ cik >

< entityName > Rowlett Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

- < issuer >

< cik > 0001624680 </ cik >

< entityName > Lakepointe Senior Care Center Holdings, LLC </ entityName >

- < issuerAddress >

< street1 > 2 PARK PLAZA </ street1 >

< street2 > SUITE 800 </ street2 >

< city > IRVINE </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 949-477-5800 </ issuerPhoneNumber >

< jurisdictionOfInc > TEXAS </ jurisdictionOfInc >

- < issuerPreviousNameList >

< value > None </ value >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Limited Liability Company </ entityType >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ issuer >

</ issuerList >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Joseph </ firstName >

< lastName > McKeever </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2 Park Plaza </ street1 >

< street2 > Suite 800 </ street2 >

< city > Irvine </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Promoter </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Granite Asset Management Group LP </ firstName >

< lastName > N/A </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2 Park Plaza </ street1 >

< street2 > Suite 800 </ street2 >

< city > Irvine </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Manager of Issuers </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > John </ firstName >

< lastName > Heller </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2 Park Plaza </ street1 >

< street2 > Suite 800 </ street2 >

< city > Irvine </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > President of Granite Investment Group </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Allen </ firstName >

< middleName > L. </ middleName >

< lastName > Boerner </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2 Park Plaza </ street1 >

< street2 > Suite 800 </ street2 >

< city > Irvine </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Executive Officer of Granite Investment Group </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Michael </ firstName >

< middleName > Scott </ middleName >

< lastName > Rickard </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2 Park Plaza </ street1 >

< street2 > Suite 800 </ street2 >

< city > Irvine </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Investment Officer of Granite Investment Group </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Carey </ firstName >

< middleName > P. </ middleName >

< lastName > Levy </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2 Park Plaza </ street1 >

< street2 > Suite 800 </ street2 >

< city > Irvine </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Chief Operating Officer of Granite Investment Group </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Granite Investment Group </ firstName >

< lastName > N/A </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 2 Park Plaza </ street1 >

< street2 > Suite 800 </ street2 >

< city > Irvine </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Other Health Care </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Not Applicable </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06b </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > false </ isAmendment >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2014-10-31 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isDebtType > true </ isDebtType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 50000 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > John J. Temple </ recipientName >

< recipientCRDNumber > 1139897 </ recipientCRDNumber >

< associatedBDName > ARI Financial Services, Inc. </ associatedBDName >

< associatedBDCRDNumber > 137608 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 9120 W 135th Street </ street1 >

< street2 > Suite 212 </ street2 >

< city > Overland Park </ city >

< stateOrCountry > KS </ stateOrCountry >

< stateOrCountryDescription > KANSAS </ stateOrCountryDescription >

< zipCode > 66223 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Michael S. Rickard </ recipientName >

< recipientCRDNumber > 1297325 </ recipientCRDNumber >

< associatedBDName > Carolina Financial Securities, LLC </ associatedBDName >

< associatedBDCRDNumber > 41970 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 2 Park Plaza </ street1 >

< street2 > Suite 800 </ street2 >

< city > Irvine </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92614 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > NC </ state >

< description > NORTH CAROLINA </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > UT </ state >

< description > UTAH </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Frank T. Dunn Jr. </ recipientName >

< recipientCRDNumber > 1075960 </ recipientCRDNumber >

< associatedBDName > Concorde Investment Services, LLC </ associatedBDName >

< associatedBDCRDNumber > 151604 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 63 Quail Rock Place </ street1 >

< city > The Woodlands </ city >

< stateOrCountry > TX </ stateOrCountry >

< stateOrCountryDescription > TEXAS </ stateOrCountryDescription >

< zipCode > 77381 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > MT </ state >

< description > MONTANA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Robert R. Tweed </ recipientName >

< recipientCRDNumber > 2339324 </ recipientCRDNumber >

< associatedBDName > Concorde Investment Services, LLC </ associatedBDName >

< associatedBDCRDNumber > 151604 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 2060 Huntington Drive </ street1 >

< street2 > Suite 1 </ street2 >

< city > San Marino </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 91108 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Ronald L. Ellis </ recipientName >

< recipientCRDNumber > 1605740 </ recipientCRDNumber >

< associatedBDName > Primex Prime Electronic Execution, Inc. </ associatedBDName >

< associatedBDCRDNumber > 29394 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 45 Knollwood Road </ street1 >

< street2 > 4th Floor </ street2 >

< city > Elmsford </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10523 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Andrew J. Maconachy </ recipientName >

< recipientCRDNumber > 6267751 </ recipientCRDNumber >

< associatedBDName > Primex Prime Electronic Execution, Inc. </ associatedBDName >

< associatedBDCRDNumber > 29394 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 45 Knollwood Road </ street1 >

< street2 > 4th Floor </ street2 >

< city > Elmsford </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10523 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

< state > OH </ state >

< description > OHIO </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > John P. Harvey Jr. </ recipientName >

< recipientCRDNumber > 4227692 </ recipientCRDNumber >

< associatedBDName > Sandlapper Securities, LLC </ associatedBDName >

< associatedBDCRDNumber > 137906 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 1 City Boulevard West </ street1 >

< street2 > Suite 870 </ street2 >

< city > Orange </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 92868 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

< state > NY </ state >

< description > NEW YORK </ description >

< state > TX </ state >

< description > TEXAS </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Peter R. Dorn </ recipientName >

< recipientCRDNumber > 1089858 </ recipientCRDNumber >

< associatedBDName > Wall Street Strategies, Inc. </ associatedBDName >

< associatedBDCRDNumber > 31268 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 660S. Prairie View Drive </ street1 >

< street2 > Suite 125 PMB 222 </ street2 >

< city > West Des Moines </ city >

< stateOrCountry > IA </ stateOrCountry >

< stateOrCountryDescription > IOWA </ stateOrCountryDescription >

< zipCode > 50266 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > IL </ state >

< description > ILLINOIS </ description >

< state > IA </ state >

< description > IOWA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Warren J. Thomas </ recipientName >

< recipientCRDNumber > 2299254 </ recipientCRDNumber >

< associatedBDName > Lighthouse Capital Group, LLC </ associatedBDName >

< associatedBDCRDNumber > 169135 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 251 S. Lake Avenue </ street1 >

< street2 > Suite 520 </ street2 >

< city > Pasadena </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 91101 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CA </ state >

< description > CALIFORNIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Bruce V. Roberts </ recipientName >

< recipientCRDNumber > 1489110 </ recipientCRDNumber >

< associatedBDName > Carolina Financial Securities, LLC </ associatedBDName >

< associatedBDCRDNumber > 41970 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 185 W. Main Street </ street1 >

< city > Brevard </ city >

< stateOrCountry > NC </ stateOrCountry >

< stateOrCountryDescription > NORTH CAROLINA </ stateOrCountryDescription >

< zipCode > 28712 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > CT </ state >

< description > CONNECTICUT </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > 44000000 </ totalOfferingAmount >

< totalAmountSold > 40929000 </ totalAmountSold >

< totalRemaining > 3071000 </ totalRemaining >

< clarificationOfResponse />

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 106 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 1500000 </ dollarAmount >

< isEstimate > true </ isEstimate >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse />

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

< clarificationOfResponse />

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > true </ authorizedRepresentative >

- < signature >

< issuerName > Beltline Senior Care Center Holdings, LLC </ issuerName >

< signatureName > John Heller </ signatureName >

< nameOfSigner > John Heller </ nameOfSigner >

< signatureTitle > President </ signatureTitle >

< signatureDate > 2014-11-14 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >