0001995856-23-000001.txt : 20231004 0001995856-23-000001.hdr.sgml : 20231004 20231003192743 ACCESSION NUMBER: 0001995856-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231004 DATE AS OF CHANGE: 20231003 EFFECTIVENESS DATE: 20231004 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FOM Roosevelt LLC CENTRAL INDEX KEY: 0001995856 IRS NUMBER: 000000000 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-493741 FILM NUMBER: 231306133 BUSINESS ADDRESS: STREET 1: 7500 ROOSEVELT WAY NE CITY: SEATTLE STATE: WA ZIP: 98115 BUSINESS PHONE: (206) 999-1982 MAIL ADDRESS: STREET 1: 7500 ROOSEVELT WAY NE CITY: SEATTLE STATE: WA ZIP: 98115 D 1 primary_doc.xml X0708 D LIVE 0001995856 FOM Roosevelt LLC 7500 ROOSEVELT WAY NE SEATTLE WA WASHINGTON 98115 (206) 999-1982 WASHINGTON None None Limited Liability Company true 2023 Gordon Stephenson 7500 Roosevelt Way NE Seattle WA WASHINGTON 98115 Executive Officer Manager of Issuer Other Banking and Financial Services Decline to Disclose 06b false 2023-09-27 false true true Class A Units false 50000 1855000 1855000 0 false 8 0 0 0 false FOM Roosevelt LLC /s/ Gordon Stephenson Gordon Stephenson Manager 2023-10-03