0001846543-21-000005.txt : 20210922 0001846543-21-000005.hdr.sgml : 20210922 20210922144305 ACCESSION NUMBER: 0001846543-21-000005 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20210922 DATE AS OF CHANGE: 20210922 EFFECTIVENESS DATE: 20210922 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Headwater Ventures 2021 Access to Care, LLC CENTRAL INDEX KEY: 0001846543 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-395814 FILM NUMBER: 211269346 BUSINESS ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 BUSINESS PHONE: (801) 419-0677 MAIL ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 D/A 1 primary_doc.xml X0708 D/A LIVE 0001846543 Headwater Ventures 2021 Access to Care, LLC 6510 S Millrock Drive Suite 400 Salt Lake City UT UTAH 84121 (801) 419-0677 DELAWARE None None Limited Liability Company true 2021 LLC Assure Fund Management II PO Box 171305 Salt Lake City UT UTAH 84117 Director Issuer's Manager Richard Thoms PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Officer of the Issuer's Manager Jeremy Neilson PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Managing Director of the Issuer's Manager Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C.1 true 0001846543-21-000004 2021-04-13 false true false 25000 1410000 1410000 0 false 20 0 0 29000 This amount represents a one-time cost to cover fund organizational and operating expenses. Headwater Ventures 2021 Access to Care, LLC Richard Thoms Richard Thoms Officer of the Issuer's Manager 2021-09-19