0001104659-21-097424.txt : 20210729 0001104659-21-097424.hdr.sgml : 20210729 20210729122149 ACCESSION NUMBER: 0001104659-21-097424 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210727 FILED AS OF DATE: 20210729 DATE AS OF CHANGE: 20210729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bradley Jacqueline Lynette CENTRAL INDEX KEY: 0001623030 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01427 FILM NUMBER: 211126064 MAIL ADDRESS: STREET 1: 5336 ISLEWORTH COUNTRY CLUB DRIVE CITY: WINDERMERE STATE: FL ZIP: 34786 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lafayette Square Empire BDC, LLC CENTRAL INDEX KEY: 0001849089 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 228 PARK AVE S STREET 2: PMB 13941 CITY: NEW YORK STATE: NY ZIP: 10003 BUSINESS PHONE: 646-9579527 MAIL ADDRESS: STREET 1: 228 PARK AVE S STREET 2: PMB 13941 CITY: NEW YORK STATE: NY ZIP: 10003 3 1 tm2123567d1_3.xml OWNERSHIP DOCUMENT X0206 3 2021-07-27 1 0001849089 Lafayette Square Empire BDC, LLC NONE 0001623030 Bradley Jacqueline Lynette PO BOX 25250, PMB 13941 WINDERMERE FL 34786 1 0 0 0 /s/ Jacqueline Bradley 2021-07-29