0001645140-17-000001.txt : 20171011 0001645140-17-000001.hdr.sgml : 20171011 20171011152500 ACCESSION NUMBER: 0001645140-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171011 DATE AS OF CHANGE: 20171011 EFFECTIVENESS DATE: 20171011 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Grand Angels-Blue Medora, LLC CENTRAL INDEX KEY: 0001645140 IRS NUMBER: 300871777 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-296415 FILM NUMBER: 171132546 BUSINESS ADDRESS: STREET 1: 36 W. 8TH STREET STREET 2: SUITE 200 CITY: HOLLAND STATE: MI ZIP: 49423 BUSINESS PHONE: 616-886-2742 MAIL ADDRESS: STREET 1: 36 W. 8TH STREET STREET 2: SUITE 200 CITY: HOLLAND STATE: MI ZIP: 49423 D 1 primary_doc.xml X0708 D LIVE 0001645140 Grand Angels-Blue Medora, LLC 36 W. 8TH STREET SUITE 200 HOLLAND MI MICHIGAN 49423 616-886-2742 DELAWARE None None Limited Liability Company true 2015 Timothy S. Parker 36 W. 8th Street Suite 200 Holland MI MICHIGAN 49423 Executive Officer Director Mr. Parker is the manager of the Issuer's manager Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b false true false true false 5000 645000 0 645000 false 0 0 0 0 false Grand Angels-Blue Medora, LLC Timothy S. Parker Timothy S. Parker Manager of the Issuer's manager 2017-10-11