0001567619-21-017322.txt : 20210920
0001567619-21-017322.hdr.sgml : 20210920
20210920105644
ACCESSION NUMBER: 0001567619-21-017322
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
ITEM INFORMATION: Section 3(c)(1)
FILED AS OF DATE: 20210920
DATE AS OF CHANGE: 20210920
EFFECTIVENESS DATE: 20210920
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Stage One IV Annex Fund, L.P.
CENTRAL INDEX KEY: 0001883446
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-413866
FILM NUMBER: 211262394
BUSINESS ADDRESS:
STREET 1: 12 ABA EVEN AVENUE, ECKERSTEIN TOWERS
STREET 2: BLDG. D, 3RD FLOOR
CITY: HERZLIYA PITUACH
STATE: L3
ZIP: 4672530
BUSINESS PHONE: 972-9-779-2250
MAIL ADDRESS:
STREET 1: 12 ABA EVEN AVENUE, ECKERSTEIN TOWERS
STREET 2: BLDG. D, 3RD FLOOR
CITY: HERZLIYA PITUACH
STATE: L3
ZIP: 4672530
FORMER COMPANY:
FORMER CONFORMED NAME: Stage One I Annex Fund, L.P.
DATE OF NAME CHANGE: 20210916
D
1
primary_doc.xml
X0708
D
LIVE
0001883446
Stage One IV Annex Fund, L.P.
12 Aba Even Avenue, Eckerstein Towers
Bldg. D, 3rd Floor
Herzliya Pituach
L3
ISRAEL
4672530
972-9-779-2250
CAYMAN ISLANDS
None
Stage One I Annex Fund, L.P.
Limited Partnership
true
2021
-
Stage One Capital (G.P.) IV, L.P.
12 Aba Even Avenue, Eckerstein Towers
Bldg. D, 3rd Floor
Herzliya Pituach
L3
ISRAEL
4672530
Executive Officer
General Partner of the Issuer
-
Stage One 4 Holdings Ltd.
12 Aba Even Avenue, Eckerstein Towers
Bldg. D, 3rd Floor
Herzliya Pituach
L3
ISRAEL
4672530
Executive Officer
General Partner of the General Partner of the Issuer
Yuval
Cohen
12 Aba Even Avenue, Eckerstein Towers
Bldg. D, 3rd Floor
Herzliya Pituach
L3
ISRAEL
4672530
Executive Officer
Director
Promoter
Director of the General Partner of the General Partner, and Principal, of the Issuer
Tal
Slobodkin
12 Aba Even Avenue, Eckerstein Towers
Bldg. D, 3rd Floor
Herzliya Pituach
L3
ISRAEL
4672530
Executive Officer
Director
Promoter
Director of the General Partner of the General Partner, and Principal, of the Issuer
Tal
Jacobi
12 Aba Even Avenue, Eckerstein Towers
Bldg. D, 3rd Floor
Herzliya Pituach
L3
ISRAEL
4672530
Executive Officer
Chief Financial Officer of the General Partner of the Issuer
Pooled Investment Fund
Venture Capital Fund
false
Decline to Disclose
- 06b
- 3C.1
false
true
false
true
false
0
Indefinite
0
Indefinite
false
0
0
0
0
false
Stage One IV Annex Fund, L.P.
/s/ Yuval Cohen
Yuval Cohen
Director of the GP of GP of Issuer
2021-09-20