0001936567-22-000002.txt : 20220708 0001936567-22-000002.hdr.sgml : 20220708 20220708144624 ACCESSION NUMBER: 0001936567-22-000002 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220707 FILED AS OF DATE: 20220708 DATE AS OF CHANGE: 20220708 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stone Ileana CENTRAL INDEX KEY: 0001936567 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01427 FILM NUMBER: 221074113 MAIL ADDRESS: STREET 1: 175 SW 7TH STREET STREET 2: UNIT 1911 CITY: MIAMI STATE: FL ZIP: 33130 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 3 1 wf-form3_165730596943161.xml FORM 3 X0206 3 2022-07-07 0 0001849089 Lafayette Square USA, Inc. NONE 0001936567 Stone Ileana C/O LAFAYETTE SQUARE USA, INC. PO BOX 25250, PMB 13941 MIAMI FL 33102 0 1 0 0 Chief Compliance Officer Common Stock 1000 I See footnote 1. 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, the Ileana C Stone Revocable Trust was obligated to make a capital contribution of $15,000 on June 24, 2022, and the Company issued 1,000 shares of Common Stock to Ileana C Stone Revocable Trust on such date. The shares are held by the Ileana C. Stone Revocable Trust, over which the reporting person holds sole voting and dispositive power as trustee. /s/ Ileana Stone 2022-07-08