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