0001867363-21-000001.txt : 20211020 0001867363-21-000001.hdr.sgml : 20211020 20211020135606 ACCESSION NUMBER: 0001867363-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20211020 DATE AS OF CHANGE: 20211020 EFFECTIVENESS DATE: 20211020 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Private Investor Club Feeder Fund 2021-H LLC CENTRAL INDEX KEY: 0001867363 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-417740 FILM NUMBER: 211333693 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 1 primary_doc.xml X0708 D LIVE 0001867363 Private Investor Club Feeder Fund 2021-H LLC 1111 Isobel Reserve Ln. Tampa FL FLORIDA 33613 (813) 600-9412 DELAWARE None None Limited Liability Company true 2021 LLC Private Investor Club 1111 Isobel Reserve Ln. Tampa FL FLORIDA 33613 Director Issuer's Manager Richard Thoms PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Officer of the Issuer's Administrative Manager LLC Assure Fund Management II PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Issuer's Administrative Manager Pooled Investment Fund Other Investment Fund false Decline to Disclose 06c 3C.1 false 2021-09-08 false true false 25000 6802401 6802401 0 false 110 0 0 10000 This amount represents a one-time cost to cover fund organizational and operating expenses. Private Investor Club Feeder Fund 2021-H LLC Richard Thoms Richard Thoms Officer of the Issuer's Administrative Manager 2021-10-19