0001903443-22-000001.txt : 20220111 0001903443-22-000001.hdr.sgml : 20220111 20220111130254 ACCESSION NUMBER: 0001903443-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20220111 DATE AS OF CHANGE: 20220111 EFFECTIVENESS DATE: 20220111 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fund 00169 a series of Assure Labs GB 2021, LLC CENTRAL INDEX KEY: 0001903443 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-428799 FILM NUMBER: 22523380 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 0001903443 Fund 00169 a series of Assure Labs GB 2021, 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 false 2021-12-23 false true false 5000 54509 54509 0 false 8 0 0 4000 This amount represents a one-time cost to cover fund organizational and operating expenses. Fund 00169 a series of Assure Labs GB 2021, LLC Richard Thoms Richard Thoms Officer of the Issuer's Manager 2022-01-11