0001627515-18-000053.txt : 20180829 0001627515-18-000053.hdr.sgml : 20180829 20180829132030 ACCESSION NUMBER: 0001627515-18-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180827 FILED AS OF DATE: 20180829 DATE AS OF CHANGE: 20180829 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Golub David CENTRAL INDEX KEY: 0001298389 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01128 FILM NUMBER: 181043710 MAIL ADDRESS: STREET 1: 1125 PARK AVE. 7A CITY: NEW YORK STATE: NY ZIP: 10128 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GOLUB CAPITAL INVESTMENT Corp CENTRAL INDEX KEY: 0001627515 IRS NUMBER: 471893276 STATE OF INCORPORATION: MD FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 666 FIFTH AVENUE STREET 2: 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10103 BUSINESS PHONE: 212.750.6060 MAIL ADDRESS: STREET 1: 666 FIFTH AVENUE STREET 2: 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10103 FORMER COMPANY: FORMER CONFORMED NAME: Golub Capital Investment Corp DATE OF NAME CHANGE: 20141209 4 1 wf-form4_153556321360557.xml FORM 4 X0306 4 2018-08-27 0 0001627515 GOLUB CAPITAL INVESTMENT Corp N/A 0001298389 Golub David C/O GOLUB CAPITAL INVESTMENT CORPORATION 666 FIFTH AVENUE, 18TH FLOOR NEW YORK NY 10103 1 1 1 0 President and CEO Common Stock, par value $0.001 per share 2018-08-27 4 P 0 93025.733 15 A 1656052.064 I By GEMS Fund 4, L.P. Common Stock, par value $0.001 per share 3573035.922 I BY GEMS Fund, L.P. Common Stock, par value $0.001 per share 1004905.973 I By GCOP LLC Due to his control of GEMS Fund 4, L.P., which upon settlement of the current acquisition directly owns 1,656,052.064 shares of Common Stock, Mr. Golub may be viewed as having investment power over all of the shares owned by such entity although voting rights have been passed through to the limited partners. Mr. Golub disclaims beneficial ownership of such shares of Common Stock held by GEMS Fund 4, L.P. except to the extent of his pecuniary interest therein. Due to his control of GEMS Fund, L.P., which directly owns 3,573,035.922 shares of Common Stock, Mr. Golub may be viewed as having investment power over all of the shares owned by such entity although voting rights have been passed through to the limited partners. Mr. Golub disclaims beneficial ownership of such shares of Common Stock held by GEMS Fund, L.P. except to the extent of his pecuniary interest therein. Due to his control of and ownership interest in GCOP LLC, which directly owns 1,004,905.973 shares of Common Stock, Mr. Golub is viewed as having investment power over all of the shares owned by such entity. /s/ David B. Golub 2018-08-29