0001873577-21-000002.txt : 20211220 0001873577-21-000002.hdr.sgml : 20211220 20211217185411 ACCESSION NUMBER: 0001873577-21-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20211220 DATE AS OF CHANGE: 20211217 EFFECTIVENESS DATE: 20211220 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Private Investor Club Feeder Fund 2021-I LLC CENTRAL INDEX KEY: 0001873577 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-417785 FILM NUMBER: 211503158 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 0001873577 Private Investor Club Feeder Fund 2021-I 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 06b 3C.1 true 0001873577-21-000001 2021-10-15 false true false 50000 4445000 4445000 0 false 62 0 0 10000 This amount represents a one-time cost to cover fund organizational and operating expenses. Private Investor Club Feeder Fund 2021-I LLC Richard Thoms Richard Thoms Officer of the Issuer's Administrative Manager 2021-12-17