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