0001690171-17-000002.txt : 20170315 0001690171-17-000002.hdr.sgml : 20170315 20170315133030 ACCESSION NUMBER: 0001690171-17-000002 CONFORMED SUBMISSION TYPE: D/A 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: 20170315 DATE AS OF CHANGE: 20170315 EFFECTIVENESS DATE: 20170315 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OT Microbiome Fund I, LLC CENTRAL INDEX KEY: 0001690171 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-281595 FILM NUMBER: 17690721 BUSINESS ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 BUSINESS PHONE: 8017133508 MAIL ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 D/A 1 primary_doc.xml X0707 D/A LIVE 0001690171 OT Microbiome Fund I, LLC 8880 Wilshire Blvd Ste 200 Beverly Hills CA CALIFORNIA 90211 4083963123 DELAWARE None None Limited Liability Company true 2016 LLC OT Management 8880 Wilshire Blvd Ste 200 Beverly Hills CA CALIFORNIA 90211 Director Issuer's Manager LLC Assure Fund Management II PO Box 171305 Salt Lake City UT UTAH 84117 Director Issuer's Administrative Manager Mateo Johnson PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Officer of the Issuer's Administrative Manager Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.1 true 0001690171-17-000001 2017-02-22 false true false 100000 3270000 3270000 0 false 10 0 0 0 false OT Microbiome Fund I, LLC Mateo Johnson Mateo Johnson Officer of the Issuer's Administrative Manager 2017-03-15