0001849089-23-000055.txt : 20231215
0001849089-23-000055.hdr.sgml : 20231215
20231215141453
ACCESSION NUMBER: 0001849089-23-000055
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231213
FILED AS OF DATE: 20231215
DATE AS OF CHANGE: 20231215
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dwin Damien
CENTRAL INDEX KEY: 0001875321
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 814-01427
FILM NUMBER: 231489767
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
wk-form4_1702667683.xml
FORM 4
X0508
4
2023-12-13
0
0001849089
Lafayette Square USA, Inc.
NONE
0001875321
Dwin Damien
C/O LAFAYETTE SQUARE USA, INC.
PO BOX 25250, PMB 13941
MIAMI
FL
33102
1
1
0
0
President and CEO
0
Common Stock
2023-12-13
4
P
0
6085.19
14.79
A
58460.45
D
On December 13, 2023, 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, Damien Dwin was obligated to make a capital contribution of $90,000, and on December 13, 2023, the Company issued 6,085.19 shares of Common Stock to Damien Dwin.
s/ Damien Dwin
2022-12-15