0001387131-19-008060.txt : 20191030 0001387131-19-008060.hdr.sgml : 20191030 20191030165832 ACCESSION NUMBER: 0001387131-19-008060 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191030 FILED AS OF DATE: 20191030 DATE AS OF CHANGE: 20191030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LILLY STEVEN C CENTRAL INDEX KEY: 0001158392 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01151 FILM NUMBER: 191180931 MAIL ADDRESS: STREET 1: 1004 FARNAM STREET, SUITE 400 CITY: OMAHA STATE: NE ZIP: 27511 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FS Investment Corp IV CENTRAL INDEX KEY: 0001637417 IRS NUMBER: 473258730 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 ROUSE BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19112 BUSINESS PHONE: 215-495-1150 MAIL ADDRESS: STREET 1: 201 ROUSE BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19112 3 1 lillyfsiciv-form3_103019.xml OWNERSHIP DOCUMENT X0206 3 2019-10-30 1 0001637417 FS Investment Corp IV NONE 0001158392 LILLY STEVEN C C/O FS INVESTMENT CORPORATION IV 201 ROUSE BOULEVARD PHILADELPHIA PA 19112 0 1 0 0 Chief Financial Officer /s/ Steven Lilly 2019-10-30