0001209191-22-050057.txt : 20220915 0001209191-22-050057.hdr.sgml : 20220915 20220915161138 ACCESSION NUMBER: 0001209191-22-050057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220913 FILED AS OF DATE: 20220915 DATE AS OF CHANGE: 20220915 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SKOLL JEFFREY S CENTRAL INDEX KEY: 0001079555 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01427 FILM NUMBER: 221245908 MAIL ADDRESS: STREET 1: C/O EBAY INC STREET 2: 2145 HAMILTON AVENUE CITY: SAN JOSE STATE: CA ZIP: 95125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sequoia Holdings, LLC /DE/ CENTRAL INDEX KEY: 0001938184 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01427 FILM NUMBER: 221245907 BUSINESS ADDRESS: STREET 1: C/O CAPRICORN INVESTMENT GROUP, LLC STREET 2: 250 UNIVERSITY AVENUE, SUITE 300 CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: (650) 331-8800 MAIL ADDRESS: STREET 1: C/O CAPRICORN INVESTMENT GROUP, LLC STREET 2: 250 UNIVERSITY AVENUE, SUITE 300 CITY: PALO ALTO STATE: CA ZIP: 94301 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-09-13 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 0001938184 Sequoia Holdings, LLC /DE/ 250 UNIVERSITY AVENUE, SUITE 300 PALO ALTO CA 94301 0 0 1 0 Common Stock 2022-09-13 4 P 0 252146 14.64 A 498241 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 2022-09-15 Sequoia Holdings, LLC, By /s/ Eric Techel, Manager and /s/ James G.B. DeMartini, III, Manager 2022-09-15