0001715771-17-000002.txt : 20171004 0001715771-17-000002.hdr.sgml : 20171004 20171004162732 ACCESSION NUMBER: 0001715771-17-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20171004 DATE AS OF CHANGE: 20171004 EFFECTIVENESS DATE: 20171004 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: 171121962 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 X0708 D/A LIVE 0001690171 OT Microbiome Fund I, LLC 8880 Wilshire Blvd Ste 200 Beverly Hills CA CALIFORNIA 90211 (408) 396-3123 DELAWARE None None Limited Liability Company true 2017 LLC OT Management 8880 Wilshire Blvd Ste 200 Beverly HIlls CA CALIFORNIA 90211 Director Issuer's Manager LLC Management Assure Fund Management II PO Box 171305 Salt Lake City UT UTAH 84117 Director Issuer's Administrative Manager Ade Management Ojo 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.1 true 0001690171-17-000001 2017-02-22 false true false 100000 4320000 4320000 0 false 16 0 0 15750 This amount represents a one time cost to cover fund organizational and operating expenses, including regulatory filing fees. OT Microbiome Fund I, LLC Ade Ojo Ade Ojo Officer of the Issuer's Administrative Manager 2017-10-04