0001851919-21-000001.txt : 20210323 0001851919-21-000001.hdr.sgml : 20210323 20210322183449 ACCESSION NUMBER: 0001851919-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20210323 DATE AS OF CHANGE: 20210322 EFFECTIVENESS DATE: 20210323 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Samson Brunello 1, L.P. CENTRAL INDEX KEY: 0001851919 IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-393103 FILM NUMBER: 21762484 BUSINESS ADDRESS: STREET 1: 415 MISSION STREET STREET 2: SUITE 5700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-788-5111 MAIL ADDRESS: STREET 1: 415 MISSION STREET STREET 2: SUITE 5700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 D 1 primary_doc.xml X0708 D LIVE 0001851919 Samson Brunello 1, L.P. 415 MISSION STREET SUITE 5700 SAN FRANCISCO CA CALIFORNIA 94105 415-788-5111 CAYMAN ISLANDS None None Limited Partnership true 2020 N/A Samson Investment GP, LLC 415 Mission Street Suite 5700 San Francisco CA CALIFORNIA 94105 Promoter General Partner of the Issuer ("GP") Philip U. Hammarskjold 415 Mission Street Suite 5700 San Francisco CA CALIFORNIA 94105 Executive Officer Executive Chairman of the GP Patrick J. Healy 415 Mission Street Suite 5700 San Francisco CA CALIFORNIA 94105 Executive Officer Chief Executive Officer of the GP Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.7 false 2021-02-19 false true true Restructuring 0 Indefinite 0 Indefinite The interests in the Issuer were issued in connection with an internal restructuring transaction. false 71 0 0 0 false Samson Brunello 1, L.P. /s/ Arrie R. Park Arrie R. Park Vice President and Secretary of the GP 2021-03-22