0001715268-19-000042.txt : 20190523
0001715268-19-000042.hdr.sgml : 20190523
20190523153827
ACCESSION NUMBER: 0001715268-19-000042
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190521
FILED AS OF DATE: 20190523
DATE AS OF CHANGE: 20190523
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: 814-01244
FILM NUMBER: 19849872
MAIL ADDRESS:
STREET 1: 1125 PARK AVE. 7A
CITY: NEW YORK
STATE: NY
ZIP: 10128
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Golub Capital BDC 3, Inc.
CENTRAL INDEX KEY: 0001715268
IRS NUMBER: 822375481
STATE OF INCORPORATION: MD
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 666 FIFTH AVENUE, 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10103
BUSINESS PHONE: (212) 750-6060
MAIL ADDRESS:
STREET 1: 666 FIFTH AVENUE, 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10103
4
1
wf-form4_155864029324594.xml
FORM 4
X0306
4
2019-05-21
0
0001715268
Golub Capital BDC 3, Inc.
NONE
0001298389
Golub David
C/O GOLUB CAPITAL BDC 3, INC.
666 FIFTH AVENUE, 18TH FLOOR
NEW YORK
NY
10103
1
1
0
0
President and CEO
Common Stock, par value $0.001 per share
2019-05-21
4
P
0
73333.333
15
A
1044999.999
I
By GEMS Fund 4, L.P.
Common Stock, par value $0.001 per share
2019-05-21
4
P
0
26694.667
15
A
216176.697
I
By GCOP LLC
Due to his control of GEMS Fund 4, L.P., which upon settlement of the current acquisition directly owns 1,044,999.999 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 and ownership interest in GCOP LLC, which upon settlement of the current acquisition directly owns 216,176.697 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
2019-05-23