0000899140-21-000600.txt : 20210809 0000899140-21-000600.hdr.sgml : 20210809 20210809103251 ACCESSION NUMBER: 0000899140-21-000600 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20210809 DATE AS OF CHANGE: 20210809 EFFECTIVENESS DATE: 20210809 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Insight Partners XII Buyout Annex Fund (Co-Investors) (B), L.P. CENTRAL INDEX KEY: 0001853408 IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-409242 FILM NUMBER: 211155132 BUSINESS ADDRESS: STREET 1: BOX 309, UGLAND HOUSE CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-1104 BUSINESS PHONE: (212) 230-9200 MAIL ADDRESS: STREET 1: BOX 309, UGLAND HOUSE CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-1104 D 1 primary_doc.xml X0708 D LIVE 0001853408 Insight Partners XII Buyout Annex Fund (Co-Investors) (B), L.P. BOX 309, UGLAND HOUSE GRAND CAYMAN E9 CAYMAN ISLANDS KY1-1104 (212) 230-9200 CAYMAN ISLANDS None None Limited Partnership true 2021 Jeffrey Horing c/o Insight Venture Management, LLC 1114 Avenue of the Americas, 36th Floor New York NY NEW YORK 10036 Executive Officer Director Sole Director and Authorized Officer of the general partner of the general partner of the issuer Blair Flicker c/o Insight Venture Management, LLC 1114 Avenue of the Americas, 36th Floor New York NY NEW YORK 10036 Executive Officer General Counsel, Vice President and Authorized Officer of the general partner of the general partner of the issuer Deven Parekh c/o Insight Venture Management, LLC 1114 Avenue of the Americas, 36th Floor New York NY NEW YORK 10036 Executive Officer Vice President and Authorized Officer of the general partner of the general partner of the issuer Mark Lessing c/o Insight Venture Management, LLC 1114 Avenue of the Americas, 36th Floor New York NY NEW YORK 10036 Executive Officer Chief Financial Officer, Vice President and Authorized Officer of the general partner of the general partner of the issuer Andrew Prodromos c/o Insight Venture Management, LLC 1114 Avenue of the Americas, 36th Floor New York NY NEW YORK 10036 Executive Officer Director Alternate Director, Vice President and Authorized Officer of the general partner of the general partner of the issuer Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.1 false 2021-05-14 false true true false 0 Indefinite 7425000 Indefinite This is a friends and family vehicle. false 7 0 0 0 false Insight Partners XII Buyout Annex Fund (Co-Investors) (B), L.P. Andrew Prodromos Andrew Prodromos See Item #3 above for Title 2021-08-06