0001140361-17-036316.txt : 20170925 0001140361-17-036316.hdr.sgml : 20170925 20170925134721 ACCESSION NUMBER: 0001140361-17-036316 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170921 FILED AS OF DATE: 20170925 DATE AS OF CHANGE: 20170925 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kari Ross Jay CENTRAL INDEX KEY: 0001330118 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55660 FILM NUMBER: 171099384 MAIL ADDRESS: STREET 1: FOUR EMBARCADERO CENTER, SUITE 2050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Goldman Sachs Private Middle Market Credit LLC CENTRAL INDEX KEY: 0001674760 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 WEST STREET CITY: NEW YORK STATE: NY ZIP: 10298-2198 BUSINESS PHONE: 212-902-1000 MAIL ADDRESS: STREET 1: 200 WEST STREET CITY: NEW YORK STATE: NY ZIP: 10298-2198 4 1 doc1.xml FORM 4 X0306 4 2017-09-21 0 0001674760 Goldman Sachs Private Middle Market Credit LLC NONE 0001330118 Kari Ross Jay 200 WEST STREET NEW YORK NY 10282 1 0 0 0 Common Units of limited liability company interests 2017-09-21 4 P 0 60.51 99.1571 A 751.24 I By The Kari Family Trust U/A/D 6/15/99 On the date hereof, Mr. Kari indirectly holds 690.73 Common Units of limited liability company interests (the "Common Units") of Goldman Sachs Private Middle Market Credit LLC (the "Company"), after taking into account the final allocation of units as part of a prior capital call, which number was estimated and reported on a prior filing. In addition, on September 21, 2017, the Company issued a capital call notice to its investors that have committed to purchase Common Units. Pursuant to such capital call notice, Mr. Kari is obligated to make a capital contribution of $6,000 on September 28, 2017 out of his $200,000 aggregate capital commitment to the Company, and the Company is obligated to issue approximately 60.51 Common Units to Mr. Kari, provided such capital contribution is funded timely. These shares are held in a trust for the benefit of the reporting person's family members. The reporting person and the reporting person's spouse are trustees of the trust. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. /s/ Maya Teufel, Attorney-in-fact 2017-09-25