0001736755-21-000001.txt : 20210409 0001736755-21-000001.hdr.sgml : 20210409 20210408194649 ACCESSION NUMBER: 0001736755-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210409 DATE AS OF CHANGE: 20210408 EFFECTIVENESS DATE: 20210409 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provenance SPV, LLC CENTRAL INDEX KEY: 0001736755 IRS NUMBER: 824950112 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-395201 FILM NUMBER: 21816105 BUSINESS ADDRESS: STREET 1: 1100 GLENDON AVENUE, SUITE 1723 CITY: LOS ANGELES STATE: CA ZIP: 90024 BUSINESS PHONE: (310) 689-7432 MAIL ADDRESS: STREET 1: 1100 GLENDON AVENUE, SUITE 1723 CITY: LOS ANGELES STATE: CA ZIP: 90024 D 1 primary_doc.xml X0708 D LIVE 0001736755 Provenance SPV, LLC 8383 Wilshire Blvd., Suite 629 Beverly Hills CA CALIFORNIA 90211 (310) 388-8763 DELAWARE None None Limited Liability Company true 2018 Anthony Choe 8383 Wilshire Blvd., Suite 629 Beverly Hills CA CALIFORNIA 90211 Executive Officer President of Manager of Issuer Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b false 2021-03-29 false true false 0 Indefinite 2500000 Indefinite false 7 0 0 0 false Provenance SPV, LLC Daniel Carper Daniel Carper Authorized Person 2021-04-08