0001393725-17-000112.txt : 20170525 0001393725-17-000112.hdr.sgml : 20170525 20170525153246 ACCESSION NUMBER: 0001393725-17-000112 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) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20170525 DATE AS OF CHANGE: 20170525 EFFECTIVENESS DATE: 20170525 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BLUECROSS BLUESHIELD VENTURE PARTNERS III, LLC CENTRAL INDEX KEY: 0001662877 IRS NUMBER: 475578364 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-287500 FILM NUMBER: 17869775 BUSINESS ADDRESS: STREET 1: 225 N. MICHIGAN AVE. CITY: CHICAGO STATE: IL ZIP: 60601 BUSINESS PHONE: 312 297-6560 MAIL ADDRESS: STREET 1: 225 N. MICHIGAN AVE. CITY: CHICAGO STATE: IL ZIP: 60601 D 1 primary_doc.xml X0707 D LIVE 0001662877 BLUECROSS BLUESHIELD VENTURE PARTNERS III, LLC 225 N. MICHIGAN AVE. CHICAGO IL ILLINOIS 60601 312 297-6560 DELAWARE None None Limited Liability Company true 2015 JOHN BANTA 225 N. Michigan Ave Chicago IL ILLINOIS 60601 Executive Officer Managing Director Scott Serota 225 N. Michigan Ave Chicago IL ILLINOIS 60601 Executive Officer President and CEO of Promoter Robert Kolodgy 225 N. Michigan Ave Chicago IL ILLINOIS 60601 Executive Officer Executive Vice President and CFO of Promoter Scott Nehs 225 N. Michigan Ave Chicago IL ILLINOIS 60601 Executive Officer SVP and General Counsel of Promoter ' Blue Cross Blue Shield Association 225 N. Michigan Ave Chicago IL ILLINOIS 60601 Promoter Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.1 3C.7 false 2017-05-18 false true false 0 Indefinite 10000000 Indefinite false 1 0 0 0 false BLUECROSS BLUESHIELD VENTURE PARTNERS III, LLC /s/ John Banta John Banta Managing Director 2017-05-25