0001566114-25-000017.txt : 20250306 0001566114-25-000017.hdr.sgml : 20250306 20250306110201 ACCESSION NUMBER: 0001566114-25-000017 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20250306 DATE AS OF CHANGE: 20250306 EFFECTIVENESS DATE: 20250306 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Qualis Employee Investment Vehicle I, LLC CENTRAL INDEX KEY: 0002059147 ORGANIZATION NAME: IRS NUMBER: 333426383 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-540032 FILM NUMBER: 25714083 BUSINESS ADDRESS: STREET 1: 1650 TYSONS BOULEVARD STREET 2: SUITE 810 CITY: MCLEAN STATE: VA ZIP: 22102 BUSINESS PHONE: 703-462-5609 MAIL ADDRESS: STREET 1: 1650 TYSONS BOULEVARD STREET 2: SUITE 810 CITY: MCLEAN STATE: VA ZIP: 22102 D 1 primary_doc.xml X0708 D LIVE 0002059147 Qualis Employee Investment Vehicle I, LLC 1650 TYSONS BOULEVARD SUITE 810 MCLEAN VA VIRGINIA 22102 703-462-5609 DELAWARE None None Limited Liability Company true 2025 John Allen 1650 TYSONS BOULEVARD SUITE 810 MCLEAN VA VIRGINIA 22102 Executive Officer Managing Partner of Bluestone Investment UGP III, LLC, its sole manager Other Decline to Disclose 06b false 2025-02-28 false true false 10000 1090000 1090000 0 false 11 0 0 0 false Qualis Employee Investment Vehicle I, LLC /s/ John Allen John Allen Managing Prtnr, Bluestone Invest UGPIII,LLC,its sole manager 2025-03-06