0001209191-22-040877.txt : 20220705
0001209191-22-040877.hdr.sgml : 20220705
20220705175419
ACCESSION NUMBER: 0001209191-22-040877
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220624
FILED AS OF DATE: 20220705
DATE AS OF CHANGE: 20220705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SKOLL JEFFREY S
CENTRAL INDEX KEY: 0001079555
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 814-01427
FILM NUMBER: 221066721
MAIL ADDRESS:
STREET 1: C/O EBAY INC
STREET 2: 2145 HAMILTON AVENUE
CITY: SAN JOSE
STATE: CA
ZIP: 95125
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lafayette Square USA, Inc.
CENTRAL INDEX KEY: 0001849089
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 175 SW 7TH STREET
STREET 2: UNIT 1911
CITY: MIAMI
STATE: FL
ZIP: 33130
BUSINESS PHONE: 7866880975
MAIL ADDRESS:
STREET 1: 175 SW 7TH STREET
STREET 2: UNIT 1911
CITY: MIAMI
STATE: FL
ZIP: 33130
FORMER COMPANY:
FORMER CONFORMED NAME: Lafayette Square Empire BDC, Inc.
DATE OF NAME CHANGE: 20211101
FORMER COMPANY:
FORMER CONFORMED NAME: Lafayette Square Empire BDC, LLC
DATE OF NAME CHANGE: 20210303
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2022-06-24
0
0001849089
Lafayette Square USA, Inc.
NONE
0001079555
SKOLL JEFFREY S
C/O CAPRICORN INVESTMENT GROUP, LLC
250 UNIVERSITY AVENUE, SUITE 300
PALO ALTO
CA
94301
0
0
1
0
Common Stock
246095
I
By Sequoia Holdings, LLC
The securities are held by Sequoia Holdings, LLC ("Sequoia"). Jeffrey S. Skoll is the indirect sole member of Sequoia and has sole voting and investment power over the securities held by Sequoia. Mr. Skoll disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
Jeffrey S. Skoll, By /s/ Eric Techel, Attorney-in-Fact
2022-07-05