0001842395-21-000001.txt : 20210129 0001842395-21-000001.hdr.sgml : 20210129 20210129145657 ACCESSION NUMBER: 0001842395-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210129 DATE AS OF CHANGE: 20210129 EFFECTIVENESS DATE: 20210129 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Clover Vitality Fund I, LP CENTRAL INDEX KEY: 0001842395 IRS NUMBER: 861251826 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-387871 FILM NUMBER: 21570557 BUSINESS ADDRESS: STREET 1: 1563 SHERMAN AVENUE, SUITE 200 CITY: EVANSTON STATE: IL ZIP: 60201 BUSINESS PHONE: 7732092998 MAIL ADDRESS: STREET 1: 1563 SHERMAN AVENUE, SUITE 200 CITY: EVANSTON STATE: IL ZIP: 60201 D 1 primary_doc.xml X0708 D LIVE 0001842395 Clover Vitality Fund I, LP 1563 SHERMAN AVENUE, SUITE 200 EVANSTON IL ILLINOIS 60201 7732092998 DELAWARE None None Limited Partnership true 2021 NA Clover Vitality Fund Manager, LLC 1563 Sherman Ave, Ste 200 Evanston IL ILLINOIS 60201 Executive Officer The general partner of the issuer (the "General Partner") Bertram Cohen 1563 Sherman Ave, Ste 200 Evanston IL ILLINOIS 60201 Executive Officer Manager of the General Partner David Choe 1563 Sherman Ave, Ste 200 Chicago IL ILLINOIS 60201 Executive Officer Manager of the General Partner Alexander Schneider 1563 Sherman Ave, Ste 200 Chicago IL ILLINOIS 60201 Executive Officer Manager of the General Partner Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b false true false true false 0 Indefinite 0 Indefinite false 0 0 0 0 false Clover Vitality Fund I, LP Bertram Cohen Bertram Cohen Manager of General Partner 2021-01-29