0001718504-17-000001.txt : 20171004 0001718504-17-000001.hdr.sgml : 20171004 20171003183533 ACCESSION NUMBER: 0001718504-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171004 DATE AS OF CHANGE: 20171003 EFFECTIVENESS DATE: 20171004 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Evergreen 41 LLC CENTRAL INDEX KEY: 0001718504 IRS NUMBER: 822074893 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-295943 FILM NUMBER: 171119760 BUSINESS ADDRESS: STREET 1: 220 SOUTH KING STREET STREET 2: P.O. BOX 4742 CITY: JACKSON STATE: WY ZIP: 83001 BUSINESS PHONE: 303-316-3000 MAIL ADDRESS: STREET 1: 3575 CHERRY CREEK NORTH DRIVE CITY: DENVER STATE: CO ZIP: 80209 D 1 primary_doc.xml X0708 D LIVE 0001718504 Evergreen 41 LLC 3575 Cherry Creek North Drive Denver CO COLORADO 80209 303-316-3000 WYOMING None None Limited Liability Company true 2017 Gates Capital Partners, LLC Gates Capital Partners, LLC 3575 Cherry Creek North Drive Denver CO COLORADO 80209 Executive Officer Manager of the Issuer Marshall F. Wallach 3575 Cherry Creek North Drive Denver CO COLORADO 80209 Executive Officer Director President and Member of the Board of Managers of the Manager of the Issuer J. Landis Martin 3575 Cherry Creek North Drive Denver CO COLORADO 80209 Director Member of the Board of Managers of the Manager of the Issuer Merial Currier 3575 Cherry Creek North Drive Denver CO COLORADO 80209 Director Member of the Board of Managers of the Manager of the Issuer Diane G. Wallach 3575 Cherry Creek North Drive Denver CO COLORADO 80209 Director Member of the Board of Managers of the Manager of the Issuer John W. Zimmerman 3575 Cherry Creek North Drive Denver CO COLORADO 80209 Director Member of the Board of Managers of the Manager of the Issuer Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b false 2017-09-25 false true false 100000 268130000 268130000 0 false 22 0 0 0 true false Evergreen 41 LLC /s/Marshall F. Wallach Marshall F. Wallach President of the Manager of the Issuer 2017-09-28