0001799468-20-000001.txt : 20200114 0001799468-20-000001.hdr.sgml : 20200114 20200114092113 ACCESSION NUMBER: 0001799468-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200114 DATE AS OF CHANGE: 20200114 EFFECTIVENESS DATE: 20200114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SAM DOMICILIUM OPPORTUNITY ZONE FUND I, LLC CENTRAL INDEX KEY: 0001799468 IRS NUMBER: 843363082 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-357899 FILM NUMBER: 20525093 BUSINESS ADDRESS: STREET 1: 8289 MARK TWAIN LANE CITY: AUTRYVILLE STATE: NC ZIP: 28318 BUSINESS PHONE: 704-622-4872 MAIL ADDRESS: STREET 1: PO BOX 49422 CITY: CHARLOTTE STATE: NC ZIP: 28277 D 1 primary_doc.xml X0708 D LIVE 0001799468 SAM DOMICILIUM OPPORTUNITY ZONE FUND I, LLC 8289 MARK TWAIN LANE AUTRYVILLE NC NORTH CAROLINA 28318 704-622-4872 DELAWARE None None Limited Liability Company true 2019 Micah Simon 8289 Mark Twain Lane Autryville NC NORTH CAROLINA 28318 Director Managing member of Domicilium Opportunity Zone Fund I GP, LLC, its managing member Other Real Estate Decline to Disclose 06b false 2019-12-31 false true false 100000 100000000 3383000 96617000 false 7 0 0 0 false SAM DOMICILIUM OPPORTUNITY ZONE FUND I, LLC /s/ Micah Simon Micah Simon Mg. Mbr., Domicilium Opp. Zone Fund I GP LLC, its Mg. Mbr. 2020-01-14