0001387131-19-008060.txt : 20191030
0001387131-19-008060.hdr.sgml : 20191030
20191030165832
ACCESSION NUMBER: 0001387131-19-008060
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191030
FILED AS OF DATE: 20191030
DATE AS OF CHANGE: 20191030
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LILLY STEVEN C
CENTRAL INDEX KEY: 0001158392
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 814-01151
FILM NUMBER: 191180931
MAIL ADDRESS:
STREET 1: 1004 FARNAM STREET, SUITE 400
CITY: OMAHA
STATE: NE
ZIP: 27511
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FS Investment Corp IV
CENTRAL INDEX KEY: 0001637417
IRS NUMBER: 473258730
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 201 ROUSE BOULEVARD
CITY: PHILADELPHIA
STATE: PA
ZIP: 19112
BUSINESS PHONE: 215-495-1150
MAIL ADDRESS:
STREET 1: 201 ROUSE BOULEVARD
CITY: PHILADELPHIA
STATE: PA
ZIP: 19112
3
1
lillyfsiciv-form3_103019.xml
OWNERSHIP DOCUMENT
X0206
3
2019-10-30
1
0001637417
FS Investment Corp IV
NONE
0001158392
LILLY STEVEN C
C/O FS INVESTMENT CORPORATION IV
201 ROUSE BOULEVARD
PHILADELPHIA
PA
19112
0
1
0
0
Chief Financial Officer
/s/ Steven Lilly
2019-10-30