0001111830-16-001432.txt : 20160601 0001111830-16-001432.hdr.sgml : 20160601 20160601122153 ACCESSION NUMBER: 0001111830-16-001432 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160601 FILED AS OF DATE: 20160601 DATE AS OF CHANGE: 20160601 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CROSS SHORE DISCOVERY FUND CENTRAL INDEX KEY: 0001609706 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: C/O ULTIMUS ASSET SERVICES, LLC STREET 2: 2960 N. MERIDIAN ST., SUITE 300 CITY: INDIANAPOLIS STATE: IN ZIP: 46208 BUSINESS PHONE: 317-917-7000 MAIL ADDRESS: STREET 1: C/O ULTIMUS ASSET SERVICES, LLC STREET 2: 2960 N. MERIDIAN ST., SUITE 300 CITY: INDIANAPOLIS STATE: IN ZIP: 46208 FORMER COMPANY: FORMER CONFORMED NAME: Cross Shore Discovery Fund DATE OF NAME CHANGE: 20140602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bloom Tina Hosking CENTRAL INDEX KEY: 0001594076 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 811-22976 FILM NUMBER: 161688505 MAIL ADDRESS: STREET 1: C/O ULTIMUS FUND SOLUTIONS, LLC STREET 2: 225 PICTORIA DRIVE, SUITE 450 CITY: CINCINNATI STATE: OH ZIP: 45246 3 1 tbloom_form3-0616.xml OWNERSHIP DOCUMENT X0206 3 2016-06-01 0 0001609706 CROSS SHORE DISCOVERY FUND NONE 0001594076 Bloom Tina Hosking C/O ULTIMUS FUND SOLUTIONS, LLC 225 PICTORIA DRIVE, SUITE 450 CINCINNATI OH 45246 0 1 0 0 Secretary Institutional Shares 0 D No securities are beneficially owned. Tina H. Bloom 2016-06-01