0000905718-17-000364.txt : 20170321 0000905718-17-000364.hdr.sgml : 20170321 20170321165901 ACCESSION NUMBER: 0000905718-17-000364 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20170321 DATE AS OF CHANGE: 20170321 EFFECTIVENESS DATE: 20170321 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Innovation X Holdings QP, LLC (Lyft Series IV) CENTRAL INDEX KEY: 0001701538 IRS NUMBER: 820764817 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-283031 FILM NUMBER: 17704751 BUSINESS ADDRESS: STREET 1: 410 PARK AVENUE STREET 2: 14TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 212-417-8033 MAIL ADDRESS: STREET 1: 410 PARK AVENUE STREET 2: 14TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 D 1 primary_doc.xml X0707 D LIVE 0001701538 Innovation X Holdings QP, LLC (Lyft Series IV) 410 PARK AVENUE, 14TH FLOOR NEW YORK NY NEW YORK 10022 212-417-8033 DELAWARE None None Limited Liability Company true 2015 - Innovation X Management, LLC 410 Park Avenue, 14th Floor New York NY NEW YORK 10022 Executive Officer Manager - National Asset Management, Inc. 410 Park Avenue, 14th Floor New York NY NEW YORK 10022 Executive Officer Advisor David Levine c/o National Asset Management, Inc. 410 Park Avenue, 14th Floor New York NY NEW YORK 10022 Executive Officer Roger Monteforte c/o National Asset Management, Inc. 410 Park Avenue, 14th Floor New York NY NEW YORK 10022 Executive Officer Co-Manager of Innovation X Management, LLC Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.7 false true false true false 0 National Securities Corporation 7569 None None ONE UNION SQUARE, 600 UNIVERSITY STREET SUITE 2900 SEATTLE WA WASHINGTON 98101 All States false Indefinite 0 Indefinite false 0 1500000 true 0 true Assumes maximum commissions earned. 0 true Roger Monteforte is a branch owner of the Placement Agent and will receive a portion of the commissions. Manager will receive carried interest of 10% on realized gains. false Innovation X Holdings QP, LLC (Lyft Series IV) /s/ David Levine David Levine Authorized Signatory of Manager of Manager 2017-03-21