0001774429-19-000001.txt : 20190425 0001774429-19-000001.hdr.sgml : 20190425 20190424184222 ACCESSION NUMBER: 0001774429-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190425 DATE AS OF CHANGE: 20190424 EFFECTIVENESS DATE: 20190425 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FOS 210 SE Madison QOF LLC CENTRAL INDEX KEY: 0001774429 IRS NUMBER: 834406010 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-338053 FILM NUMBER: 19764922 BUSINESS ADDRESS: STREET 1: 210 SE MADISON STREET STREET 2: SUITE 19 CITY: PORTLAND STATE: OR ZIP: 97214 BUSINESS PHONE: (415) 940-3578 MAIL ADDRESS: STREET 1: 210 SE MADISON STREET STREET 2: SUITE 19 CITY: PORTLAND STATE: OR ZIP: 97214 D 1 primary_doc.xml X0708 D LIVE 0001774429 FOS 210 SE Madison QOF LLC 210 SE MADISON STREET SUITE 19 PORTLAND OR OREGON 97214 (415) 940-3578 OREGON None None Limited Liability Company true 2019 Craig Firpo 210 SE Madison Street Suite 19 Portland OR OREGON 97214 Executive Officer Promoter Christopher Peatross 260 California Street Suite 1100 San Francisco CA CALIFORNIA 94111 Executive Officer Promoter Cameron Johnson 210 SE Madison Street Suite 19 Portland OR OREGON 97214 Executive Officer Promoter Commercial Decline to Disclose 06b false 2019-04-19 false true false 100000 6000000 750000 5250000 true 0 1 0 0 0 false FOS 210 SE Madison QOF LLC /s/ Craig Firpo Craig Firpo Manager 2019-04-24