0000919574-21-000017.txt : 20210104 0000919574-21-000017.hdr.sgml : 20210104 20210104161535 ACCESSION NUMBER: 0000919574-21-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210104 FILED AS OF DATE: 20210104 DATE AS OF CHANGE: 20210104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bloomstone Benjamin Ralph CENTRAL INDEX KEY: 0001632158 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 811-22976 FILM NUMBER: 21501959 MAIL ADDRESS: STREET 1: 111 GREAT NECK ROAD, SUITE 210 CITY: GREAT NECK STATE: NY ZIP: 11021 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: ULTIMUS FUND SOLUTIONS, LLC STREET 2: 225 PICTORIA DRIVE, SUITE 450 CITY: CINCINNATI STATE: OH ZIP: 45246 BUSINESS PHONE: 513-587-3400 MAIL ADDRESS: STREET 1: ULTIMUS FUND SOLUTIONS, LLC STREET 2: 225 PICTORIA DRIVE, SUITE 450 CITY: CINCINNATI STATE: OH ZIP: 45246 FORMER COMPANY: FORMER CONFORMED NAME: Cross Shore Discovery Fund DATE OF NAME CHANGE: 20140602 4 1 ownership.xml X0306 4 2021-01-04 0 0001609706 CROSS SHORE DISCOVERY FUND XDSCX 0001632158 Bloomstone Benjamin Ralph 111 GREAT NECK ROAD, SUITE 210 GREAT NECK, NY 11021 0 0 0 1 Affiliated person of adviser* Shares of beneficial interest, par value $.001 per share 60907.76 D Shares of beneficial interest, par value $.001 per share 12872.38 I See footnote Shares of beneficial interest, par value $.001 per share 2021-01-04 4 S 0 2000000 D 2000000 D The aggregate value of the Shares of beneficial interest, par value $.001 per share (the "Institutional Shares") disposed of in this transaction is $2,000,000. Due to the timing of the Issuer's determination of its net asset value, the number of Institutional Shares and price per Institutional Share that correspond to this transaction cannot be determined at the time of this filing. The Reporting Person is, as of the date of this report, a managing member of Cross Shore Capital Management, LLC, the investment adviser of the Issuer, in whose account the reported securities are directly held. The Reporting Person is, as of the date of this report, a managing member of Cross Shore Capital Management, LLC, the investment adviser of the Issuer, in whose account the reported securities are indirectly held. The Reporting Person disclaims beneficial ownership of the securities to the extent of his pecuniary interest therein, and this report shall not be deemed to be an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. * The Reporting Person is an affiliated person of Cross Shore Capital Management, LLC, the investment adviser of the Issuer. /s/ Benjamin Ralph Bloomstone 2021-01-04