0001663429-16-000001.txt : 20160122 0001663429-16-000001.hdr.sgml : 20160122 20160122171819 ACCESSION NUMBER: 0001663429-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20160122 DATE AS OF CHANGE: 20160122 EFFECTIVENESS DATE: 20160122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Origin Ventures IV, L.P. CENTRAL INDEX KEY: 0001663429 IRS NUMBER: 475260953 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-255824 FILM NUMBER: 161356909 BUSINESS ADDRESS: STREET 1: 549 W. RANDOLPH STREET, SUITE 601 CITY: CHICAGO STATE: IL ZIP: 60661 BUSINESS PHONE: 312-324-3477 MAIL ADDRESS: STREET 1: 549 W. RANDOLPH STREET, SUITE 601 CITY: CHICAGO STATE: IL ZIP: 60661 D 1 primary_doc.xml X0707 D LIVE 0001663429 Origin Ventures IV, L.P. 549 W. RANDOLPH STREET, SUITE 601 CHICAGO IL ILLINOIS 60661 312-324-3477 DELAWARE None None Limited Partnership true 2015 Bruce Barron 549 W. Randolph Street, Suite 601 Chicago IL ILLINOIS 60661 Executive Officer Managing Member of the General Partner Jason Heltzer 549 W. Randolph Street, Suite 601 Chicago IL ILLINOIS 60661 Executive Officer Managing Member of the General Partner Brent Hill 549 W. Randolph Street, Suite 601 Chicago IL ILLINOIS 60661 Executive Officer Managing Member of the General Partner Steven Miller 549 W. Randolph Street, Suite 601 Chicago IL ILLINOIS 60661 Executive Officer Managing Member of the General Partner Pooled Investment Fund Venture Capital Fund false Not Applicable 06b 3C 3C.1 false true false true false 0 100000000 0 100000000 false 0 0 0 0 false Origin Ventures IV, L.P. /s/ Jason Heltzer Jason Heltzer Managing Member of the General Partner 2016-01-22