0001691111-16-000001.txt : 20161201 0001691111-16-000001.hdr.sgml : 20161201 20161130173611 ACCESSION NUMBER: 0001691111-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20161201 DATE AS OF CHANGE: 20161130 EFFECTIVENESS DATE: 20161201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Origin-CC FS, LLC CENTRAL INDEX KEY: 0001691111 IRS NUMBER: 813254585 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-275400 FILM NUMBER: 162026189 BUSINESS ADDRESS: STREET 1: 350 N LASALLE ST STREET 2: SUITE 1000 CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: 3126353704 MAIL ADDRESS: STREET 1: 350 N LASALLE ST STREET 2: SUITE 1000 CITY: CHICAGO STATE: IL ZIP: 60654 D 1 primary_doc.xml X0707 D LIVE 0001691111 Origin-CC FS, LLC 350 N LASALLE ST SUITE 1000 CHICAGO IL ILLINOIS 60654 3126353704 DELAWARE None None Limited Liability Company true 2016 David Scherer 350 N LaSalle St Suite 1000 Chicago IL ILLINOIS 60654 Executive Officer Managing Member of OHC Manager, LLC, the manager of Origin Holding Company, LLC, the sole member of Origin Manager III, LLC, the manager of the Issuer. Michael Episcope 350 N LaSalle St Suite 1000 chicago IL ILLINOIS 60654 Executive Officer Managing Member of OHC Manager, LLC, the manager of Origin Holding Company, LLC, the sole member of Origin Manager III, LLC, the manager of the Issuer. Commercial Decline to Disclose 06c false 2016-11-23 false true false 0 form requires a value; however, there is no sales compensation None None None none none none XX Unknown none All States false 3200000 2000000 1200000 false 5 0 0 0 The Manager is entitled to receive an annual management fee equal to 1.5% of the unreturned capital contributed to the Issuer. false Origin-CC FS, LLC s/ Michael B McVickar Michael B McVickar General Counsel 2016-11-30