0001619908-14-000001.txt : 20141006 0001619908-14-000001.hdr.sgml : 20141006 20141006160822 ACCESSION NUMBER: 0001619908-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20141006 DATE AS OF CHANGE: 20141006 EFFECTIVENESS DATE: 20141006 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Healthbox Salt Lake City I, LLC CENTRAL INDEX KEY: 0001619908 IRS NUMBER: 465338772 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-225867 FILM NUMBER: 141143007 BUSINESS ADDRESS: STREET 1: 213 NORTH RACINE CITY: CHICAGO STATE: IL ZIP: 60607 BUSINESS PHONE: 312-243-4100 MAIL ADDRESS: STREET 1: 213 NORTH RACINE CITY: CHICAGO STATE: IL ZIP: 60607 D 1 primary_doc.xml X0707 D LIVE 0001619908 Healthbox Salt Lake City I, LLC 299 South Main Street Suite 250 Salt Lake City UT UTAH 84111 801-810-4050 DELAWARE None None Limited Liability Company true 2014 N/A SHBX Investment X LLC 213 North Racine Suite 201 Chicago IL ILLINOIS 60607 Director Promoter Manager of Issuer N/A Healthbox Global Parnters, LLC 213 North Racine Suite 201 Chicago IL ILLINOIS 60607 Director Promoter Manager of SHBX Investment X LLC Marina Nashif 213 North Racine Ave Suite 201 Chicago IL ILLINOIS 60607 Executive Officer Director Manager and Chief Executive Officer of Healthbox Global Partners, LLC Nicholas Rosa 213 North Racine Suite 201 Chicago IL ILLINOIS 60607 Director Manager of Healthbox Global Partners, LLC Robert Shapiro 213 North Racine Suite 201 Chicago IL ILLINOIS 60607 Director Manager of Healthbox Global Partners, LLC Bert Zimmerli 213 North Racine Suite 201 Chicago IL ILLINOIS 60607 Director Manager of Healthbox Global Partners, LLC Joseph Wilson 213 North Racine Suite 201 Chicago IL ILLINOIS 60607 Director Manager of Healthbox Global Partners, LLC Mary Tolan 213 North Racine Suite 201 Chicago IL ILLINOIS 60607 Director Manager of Healthbox Global Partners, LLC Maurice Smith 213 North Racine Suite 201 Chicago IL ILLINOIS 60607 Director Manager of Healthbox Global Partners, LLC Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.1 false 2014-09-26 false true true false 0 1388688 250000 1138688 false 1 0 0 0 false Healthbox Salt Lake City I, LLC /s/ Max Eisenberg Max Eisenberg Secretary of Manager 2014-10-06