0001981713-23-000001.txt : 20230803 0001981713-23-000001.hdr.sgml : 20230803 20230803110417 ACCESSION NUMBER: 0001981713-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20230803 DATE AS OF CHANGE: 20230803 EFFECTIVENESS DATE: 20230803 FILER: COMPANY DATA: COMPANY CONFORMED NAME: General Catalyst XII Access LLC CENTRAL INDEX KEY: 0001981713 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-488652 FILM NUMBER: 231138631 BUSINESS ADDRESS: STREET 1: 200 WEST STREET CITY: NEW YORK STATE: NY ZIP: 10282 BUSINESS PHONE: 2129021000 MAIL ADDRESS: STREET 1: 200 WEST STREET CITY: NEW YORK STATE: NY ZIP: 10282 D 1 primary_doc.xml X0708 D LIVE 0001981713 General Catalyst XII Access LLC 200 WEST STREET NEW YORK NY NEW YORK 10282 2129021000 DELAWARE None None Limited Liability Company true 2022 Ashish Dodia c/o Maples Fiduciary Services (Delaware) 4001 Kennett Pike, Suite 302 Wilmington DE DELAWARE 19807 Executive Officer Manager of the Issuer's Managing Member Jody Flaws c/o AURUM GOVERNANCE 14425 Falcon Head Blvd, Building E Austin TX TEXAS 78738 Executive Officer Manager of the Issuer's Managing Member Richard Ruffer c/o Pontis Services Delaware Ltd P.O. Box 677 Far Hills NJ NEW JERSEY 07931 Executive Officer Manager of the Issuer's Managing Member Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 false 2023-07-26 true true false 0 Goldman Sachs & Co. LLC 361 None None 200 West Street New York NY NEW YORK 10282-2198 All States false Indefinite 74100000 Indefinite false 79 0 0 0 false General Catalyst XII Access LLC /s/ Ashish Dodia Ashish Dodia Manager of the Issuer's Managing Member 2023-08-03