0001104659-21-135028.txt : 20211105 0001104659-21-135028.hdr.sgml : 20211105 20211105161310 ACCESSION NUMBER: 0001104659-21-135028 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211020 FILED AS OF DATE: 20211105 DATE AS OF CHANGE: 20211105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dwin Damien CENTRAL INDEX KEY: 0001875321 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-01451 FILM NUMBER: 211384649 MAIL ADDRESS: STREET 1: PO BOX 25250, PMB 13941 CITY: MIAMI STATE: FL ZIP: 33102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lafayette Square Mid-Atlantic BDC, Inc. CENTRAL INDEX KEY: 0001879008 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 Mid-Atlantic BDC, LLC DATE OF NAME CHANGE: 20210818 3 1 tm2131905d1_3.xml OWNERSHIP DOCUMENT X0206 3 2021-10-20 1 0001879008 Lafayette Square Mid-Atlantic BDC, Inc. NONE 0001875321 Dwin Damien 175 SW 7TH STREET UNIT 1911 MIAMI FL 33130 1 1 0 0 Chief Executive Officer /s/ Damien Dwin 2021-11-05