0001849089-22-000019.txt : 20220627
0001849089-22-000019.hdr.sgml : 20220627
20220627205138
ACCESSION NUMBER: 0001849089-22-000019
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220624
FILED AS OF DATE: 20220627
DATE AS OF CHANGE: 20220627
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tahiroglu Seren
CENTRAL INDEX KEY: 0001875320
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 814-01427
FILM NUMBER: 221046284
MAIL ADDRESS:
STREET 1: PO BOX 25250, PMB 13941
CITY: MIAMI
STATE: FL
ZIP: 33102
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lafayette Square USA, Inc.
CENTRAL INDEX KEY: 0001849089
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 175 SW 7TH STREET
STREET 2: UNIT 1911
CITY: MIAMI
STATE: FL
ZIP: 33130
BUSINESS PHONE: 7866880975
MAIL ADDRESS:
STREET 1: 175 SW 7TH STREET
STREET 2: UNIT 1911
CITY: MIAMI
STATE: FL
ZIP: 33130
FORMER COMPANY:
FORMER CONFORMED NAME: Lafayette Square Empire BDC, Inc.
DATE OF NAME CHANGE: 20211101
FORMER COMPANY:
FORMER CONFORMED NAME: Lafayette Square Empire BDC, LLC
DATE OF NAME CHANGE: 20210303
4
1
wf-form4_165637748467361.xml
FORM 4
X0306
4
2022-06-24
0
0001849089
Lafayette Square USA, Inc.
NONE
0001875320
Tahiroglu Seren
C/O LAFAYETTE SQUARE USA, INC.
PO BOX 25250, PMB 13941
MIAMI
FL
33102
0
1
0
0
Chief Financial Officer
Common Stock
2022-06-24
4
P
0
833.33
15
A
833.33
D
On June 6, 2022 Lafayette Square USA, Inc. (the "Company") issued a capital call notice to certain investors that have committed to purchase shares of Common Stock. Pursuant to such capital call notice, Seren Tahiroglu was obligated to make a capital contribution of $12,500 on June 24, 2022, and the Company issued 833.33 shares of Common Stock to Seren Tahiroglu on such date.
s/ Seren Tahiroglu
2022-06-27