0001104659-20-099572.txt : 20200827 0001104659-20-099572.hdr.sgml : 20200827 20200827152456 ACCESSION NUMBER: 0001104659-20-099572 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200827 FILED AS OF DATE: 20200827 DATE AS OF CHANGE: 20200827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: UAW Chrysler Retireees Medical Benefits Plan CENTRAL INDEX KEY: 0001795057 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01330 FILM NUMBER: 201142254 BUSINESS ADDRESS: STREET 1: 200 WALKER STREET CITY: DETROIT STATE: MI ZIP: 48207 BUSINESS PHONE: 313-324-5928 MAIL ADDRESS: STREET 1: 200 WALKER STREET CITY: DETROIT STATE: MI ZIP: 48207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: UAW Ford Retireees Medical Benefits Plan CENTRAL INDEX KEY: 0001795052 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01330 FILM NUMBER: 201142255 BUSINESS ADDRESS: STREET 1: 200 WALKER STREET CITY: DETROIT STATE: MI ZIP: 48207 BUSINESS PHONE: 313-324-5928 MAIL ADDRESS: STREET 1: 200 WALKER STREET CITY: DETROIT STATE: MI ZIP: 48207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: UAW GM RETIREES MEDICAL BENEFITS PLAN CENTRAL INDEX KEY: 0001795050 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01330 FILM NUMBER: 201142256 BUSINESS ADDRESS: STREET 1: 200 WALKER STREET CITY: DETROIT STATE: MI ZIP: 48207 BUSINESS PHONE: 313-324-5928 MAIL ADDRESS: STREET 1: 200 WALKER STREET CITY: DETROIT STATE: MI ZIP: 48207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NMF SLF I, Inc. CENTRAL INDEX KEY: 0001766037 IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 787 SEVENTH AVENUE STREET 2: 48TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: (212) 720-0300 MAIL ADDRESS: STREET 1: 787 SEVENTH AVENUE STREET 2: 48TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 FORMER COMPANY: FORMER CONFORMED NAME: NMF Senior Loan Fund I, Inc. DATE OF NAME CHANGE: 20190125 4 1 tm2029694-1_4.xml OWNERSHIP DOCUMENT X0306 4 2020-08-27 0 0001766037 NMF SLF I, Inc. NONE 0001795057 UAW Chrysler Retireees Medical Benefits Plan C/O UAW RETIREE MEDICAL BENEFITS TRUST 200 WALKER STREET DETROIT MI 48207 0 0 1 0 0001795052 UAW Ford Retireees Medical Benefits Plan C/O UAW RETIREE MEDICAL BENEFITS TRUST 200 WALKER STREET DETROIT MI 48207 0 0 1 0 0001795050 UAW GM RETIREES MEDICAL BENEFITS PLAN C/O UAW RETIREE MEDICAL BENEFITS TRUST 200 WALKER STREET DETROIT MI 48207 0 0 1 0 Common Stock 2020-08-27 4 P 0 1474480 10.58 A 5634480 D Common Stock 2020-08-27 4 P 0 2310964 10.58 A 8830964 D Common Stock 2020-08-27 4 P 0 3303403 10.58 A 12623403 D These shares of common stock (the "Shares") of NMF SLF I, Inc. (the "Issuer") are owned directly by the UAW Chrysler Retirees Medical Benefits Plan, as established and maintained by the UAW Chrysler Retirees Employees' Beneficiary Association, an employee organization within the meaning of Section 3(4) of the Employee Retirement Income Security Act of 1974, as amended ("ERISA") under the UAW Retiree Medical Benefits Trust, organized as a 501(c)(9) Voluntary Employee Beneficiary Association (the "UAW RMBT"). These Shares of the Issuer are owned directly by the UAW Ford Retirees Medical Benefits Plan, as established and maintained by the UAW Ford Retirees Employees' Beneficiary Association, an employee organization within the meaning of Section 3(4) of ERISA under the UAW RMBT. These Shares of the Issuer are owned directly by the UAW GM Retirees Medical Benefits Plan, as established and maintained by the UAW GM Retirees Employees' Beneficiary Association, an employee organization within the meaning of Section 3(4) of ERISA under the UAW RMBT. UAW CHRYSLER RETIREES MEDICAL BENEFITS PLAN, /s/ Garon Meikle, Controller 2020-08-27 UAW FORD RETIREES MEDICAL BENEFITS PLAN, /s/ Garon Meikle, Controller 2020-08-27 UAW GM RETIREES MEDICAL BENEFITS PLAN, /s/ Garon Meikle, Controller 2020-08-27