0001897872-21-000001.txt : 20211215 0001897872-21-000001.hdr.sgml : 20211215 20211215171001 ACCESSION NUMBER: 0001897872-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20211215 DATE AS OF CHANGE: 20211215 EFFECTIVENESS DATE: 20211215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 2001CC21 LLC CENTRAL INDEX KEY: 0001897872 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-425222 FILM NUMBER: 211494954 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 0001897872 2001CC21 LLC 6510 S Millrock Drive Suite 400 Salt Lake City UT UTAH 84121 (801) 419-0677 DELAWARE None None Limited Liability Company true 2021 Jeremy Neilson PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Managing Director of the Issuer's Manager Richard Thoms PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Officer of the Issuer's Manager LLC Assure Fund Management II PO Box 171305 Salt Lake City UT UTAH 84117 Director Issuer's Manager Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C.1 false 2021-12-14 false true false 100000 450000 450000 0 false 2 0 0 12000 This amount represents a one-time cost to cover fund organizational and operating expenses. 2001CC21 LLC Richard Thoms Richard Thoms Officer of the Issuer's Manager 2021-12-14