0001736755-19-000001.txt : 20190219 0001736755-19-000001.hdr.sgml : 20190219 20190219154827 ACCESSION NUMBER: 0001736755-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190219 DATE AS OF CHANGE: 20190219 EFFECTIVENESS DATE: 20190219 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provenance SPV, LLC CENTRAL INDEX KEY: 0001736755 IRS NUMBER: 824950112 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-333103 FILM NUMBER: 19614852 BUSINESS ADDRESS: STREET 1: 1100 GLENDON AVENUE, SUITE 1723 CITY: LOS ANGELES STATE: CA ZIP: 90024 BUSINESS PHONE: (310) 689-7432 MAIL ADDRESS: STREET 1: 1100 GLENDON AVENUE, SUITE 1723 CITY: LOS ANGELES STATE: CA ZIP: 90024 D 1 primary_doc.xml X0708 D LIVE 0001736755 Provenance SPV, LLC 1100 GLENDON AVENUE, SUITE 1723 LOS ANGELES CA CALIFORNIA 90024 (310) 689-7432 DELAWARE None None Limited Liability Company true 2018 ANTHONY CHOE 1100 GLENDON AVE. SUITE 1723 LOS ANGELES CA CALIFORNIA 90024 Executive Officer Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b false 2019-02-12 false true false 0 Indefinite 6300000 Indefinite false 7 0 0 0 false Provenance SPV, LLC Daniel Carper Daniel Carper AUTHORIZED PERSON 2019-02-19