0001702342-17-000002.txt : 20171227
0001702342-17-000002.hdr.sgml : 20171227
20171227132908
ACCESSION NUMBER: 0001702342-17-000002
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06c
FILED AS OF DATE: 20171227
DATE AS OF CHANGE: 20171227
EFFECTIVENESS DATE: 20171227
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: USCIM Fund XXII Provia Labs, LLC
CENTRAL INDEX KEY: 0001702342
IRS NUMBER: 811998770
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-284279
FILM NUMBER: 171275799
BUSINESS ADDRESS:
STREET 1: 555 MONTGOMERY STREET
STREET 2: SUITE 1501
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 4158891010
MAIL ADDRESS:
STREET 1: 555 MONTGOMERY STREET
STREET 2: SUITE 1501
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
D/A
1
primary_doc.xml
X0708
D/A
LIVE
0001702342
USCIM Fund XXII Provia Labs, LLC
555 MONTGOMERY STREET
SUITE 1501
SAN FRANCISCO
CA
CALIFORNIA
94111
4158891010
CALIFORNIA
None
None
Limited Liability Company
true
2017
Jeffrey
Sweeney
555 Montgomery Street
Suite 1501
San Francisco
CA
CALIFORNIA
94111
Executive Officer
Promoter
Charles
Towle
555 Montgomery Street
Suite 1501
San Francisco
CA
CALIFORNIA
94111
Executive Officer
Promoter
Pooled Investment Fund
Other Investment Fund
false
Decline to Disclose
- 06c
true
0001702342-17-000001
2017-05-25
false
true
false
25000
US Capital Global Securities LLC
169544
None
None
555 Montgomery Street
Ste 1501
San Francisco
CA
CALIFORNIA
94111
CA
CALIFORNIA
false
2000000
75000
1925000
false
2
6000
0
Approximately placement agent fee of 8% of total capital raised
0
false
USCIM Fund XXII Provia Labs, LLC
Charles Towle
Charles Towle
Co-Managing Partner
2017-12-27