0001704647-17-000001.txt : 20170503
0001704647-17-000001.hdr.sgml : 20170503
20170503073657
ACCESSION NUMBER: 0001704647-17-000001
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: 20170503
DATE AS OF CHANGE: 20170503
EFFECTIVENESS DATE: 20170503
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Alpha Annex Outcome Health Fund LLC
CENTRAL INDEX KEY: 0001704647
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-285924
FILM NUMBER: 17807166
BUSINESS ADDRESS:
STREET 1: P.O. BOX 171305
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84117
BUSINESS PHONE: 8014190677
MAIL ADDRESS:
STREET 1: P.O. BOX 171305
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84117
D
1
primary_doc.xml
X0707
D
LIVE
0001704647
Alpha Annex Outcome Health Fund LLC
1 Penn Plaza
Suite 3905
New York
NY
NEW YORK
10119
8017133508
DELAWARE
None
None
Limited Liability Company
true
2017
LLC
Alpha Venture Partners
1 Penn Plaza
Suite 3905
New York
NY
NEW YORK
10119
Director
Issuer's Manager
LLC
Assure Fund Management II
PO Box 171305
Salt Lake City
UT
UTAH
84117
Director
Issuer's Administrator
Mateo
Johnson
PO Box 171305
Salt Lake City
UT
UTAH
84117
Executive Officer
Attorney-in-fact of the Issuer's Manager
Pooled Investment Fund
Other Investment Fund
false
Decline to Disclose
- 06b
- 3C
- 3C.1
false
2017-04-28
false
true
false
25000
3277000
3277000
0
false
9
0
0
466647
This amount represents a one-time fixed cost to cover
fund organizational and operating expenses, including all regulatory filing fees.
false
Alpha Annex Outcome Health Fund LLC
Mateo Johnson
Mateo Johnson
Attorney-in-Fact of the Issuer's Manager
2017-05-03