0001734259-21-000003.txt : 20210624 0001734259-21-000003.hdr.sgml : 20210624 20210624162555 ACCESSION NUMBER: 0001734259-21-000003 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)(5) ITEM INFORMATION: Section 3(c)(6) FILED AS OF DATE: 20210624 DATE AS OF CHANGE: 20210624 EFFECTIVENESS DATE: 20210624 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CPI Medical Fund One LLC CENTRAL INDEX KEY: 0001734259 IRS NUMBER: 384044024 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-318957 FILM NUMBER: 211043118 BUSINESS ADDRESS: STREET 1: 235 MOORE STREET, SUITE 300 CITY: HACKENSACK STATE: NJ ZIP: 07601 BUSINESS PHONE: 2014885800 MAIL ADDRESS: STREET 1: 235 MOORE STREET, SUITE 300 CITY: HACKENSACK STATE: NJ ZIP: 07601 D/A 1 primary_doc.xml X0708 D/A LIVE 0001734259 CPI Medical Fund One LLC 235 MOORE STREET, SUITE 300 HACKENSACK NJ NEW JERSEY 07601 2014885800 DELAWARE None None Limited Liability Company true 2017 N/A N/A CPI Medical Fund Manager LLC 235 Moore Street, Suite 300 Hackensack NJ NEW JERSEY 07601 Director Promoter MANAGING MEMBER OF ISSUER. N/A N/A CPI FUND MANAGER 195 NORTH STREET, SUITE 100 TETERBORO NJ NEW JERSEY 07608 Director Promoter SOLE MEMBER OF CPI MEDICAL FUND MANAGER LLC. Commercial Decline to Disclose 06b 3C 3C.5 3C.6 true 0001734259-18-000003 2018-07-26 true true false 100000 Indefinite 31519289 Indefinite false 30 0 0 NO SALES COMMISSIONS OR FINDERS' FEES. 0 NONE. false CPI Medical Fund One LLC /s/ HAL MESSER HAL MESSER MANAGER OF MANAGER OF ISSUER 2021-06-24