0001682383-16-000007.txt : 20161202 0001682383-16-000007.hdr.sgml : 20161202 20161202161550 ACCESSION NUMBER: 0001682383-16-000007 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: 20161202 DATE AS OF CHANGE: 20161202 EFFECTIVENESS DATE: 20161202 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MVP LS FUND XII LLC CENTRAL INDEX KEY: 0001691464 IRS NUMBER: 814547771 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-275587 FILM NUMBER: 162031344 BUSINESS ADDRESS: STREET 1: 2905 SAN GABRIEL ST. STREET 2: STE. 212 CITY: AUSTIN STATE: TX ZIP: 78705 BUSINESS PHONE: 512-212-1160 MAIL ADDRESS: STREET 1: 2905 SAN GABRIEL ST. STREET 2: STE. 212 CITY: AUSTIN STATE: TX ZIP: 78705 D 1 primary_doc.xml X0707 D LIVE 0001691464 MVP LS FUND XII LLC 2905 SAN GABRIEL ST. STE. 212 AUSTIN TX TEXAS 78705 512-212-1160 DELAWARE None None Limited Liability Company true 2016 William Michael Clark 12513 Uvalde Creek Drive Austin TX TEXAS 78732 Executive Officer Promoter Tyler Randall Gray 2905 San Gabriel St. Ste. 212 Austin TX TEXAS 78705 Executive Officer Pooled Investment Fund Private Equity Fund false No Revenues 06b 3C 3C.1 false true false true false 0 MicroVentures Marketplace, Inc. 152513 None None 2905 San Gabriel St. Ste. 212 Austin TX TEXAS 78705 All States false 2000000 0 2000000 false 0 0 true 0 0 false MVP LS FUND XII LLC /s/ William Clark William Clark President of the Fund Manager 2016-12-02