0001596771-17-000069.txt : 20171011 0001596771-17-000069.hdr.sgml : 20171011 20171011150421 ACCESSION NUMBER: 0001596771-17-000069 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: 20171011 DATE AS OF CHANGE: 20171011 EFFECTIVENESS DATE: 20171011 FILER: COMPANY DATA: COMPANY CONFORMED NAME: O2 Oxygen 1 MHC Intermediate, LLC CENTRAL INDEX KEY: 0001719233 IRS NUMBER: 822597215 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-296409 FILM NUMBER: 171132505 BUSINESS ADDRESS: STREET 1: 40900 WOODWARD AVE. STREET 2: SUITE 200 CITY: BLOOMFIELD HILLS STATE: MI ZIP: 48304 BUSINESS PHONE: 248-554-4228 MAIL ADDRESS: STREET 1: 40900 WOODWARD AVE. STREET 2: SUITE 200 CITY: BLOOMFIELD HILLS STATE: MI ZIP: 48304 D 1 primary_doc.xml X0708 D LIVE 0001719233 O2 Oxygen 1 MHC Intermediate, LLC 40900 WOODWARD AVE. SUITE 200 BLOOMFIELD HILLS MI MICHIGAN 48304 248-554-4228 DELAWARE None None Limited Liability Company true 2017 L.P. O2 Investment Partners Oxygen Fund 40900 Woodward Ave., Suite 200 Bloomfield Hills MI MICHIGAN 48304 Executive Officer Manager of Issuer Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.1 false 2017-09-29 false true true false 0 10000000 10000000 0 false 1 0 0 0 false O2 Oxygen 1 MHC Intermediate, LLC /s/ Patrick Corden Patrick Corden Vice President 2017-09-29