0001754875-19-000001.txt : 20190326 0001754875-19-000001.hdr.sgml : 20190326 20190326171422 ACCESSION NUMBER: 0001754875-19-000001 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: 20190326 DATE AS OF CHANGE: 20190326 EFFECTIVENESS DATE: 20190326 FILER: COMPANY DATA: COMPANY CONFORMED NAME: U.S. Venture Partners XII-A, L.P. CENTRAL INDEX KEY: 0001754875 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-335715 FILM NUMBER: 19706021 BUSINESS ADDRESS: STREET 1: 1460 EL CAMINO REAL, SUITE 100 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 854-9080 MAIL ADDRESS: STREET 1: 1460 EL CAMINO REAL, SUITE 100 CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0708 D LIVE 0001754875 U.S. Venture Partners XII-A, L.P. 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA CALIFORNIA 94025 (650) 854-9080 DELAWARE None None Limited Partnership true Steven M Krausz 1460 El Camino Real, Suite 100 Menlo Park CA CALIFORNIA 94025 Executive Officer Managing Member of the General Partner Richard W Lewis 1460 El Camino Real, Suite 100 Menlo Park CA CALIFORNIA 94025 Executive Officer Managing Member of the General Partner Jonathan D Root 1460 El Camino Real, Suite 100 Menlo Park CA CALIFORNIA 94025 Executive Officer Managing Member of the General Partner Casey Tansey 1460 El Camino Real, Suite 100 Menlo Park CA CALIFORNIA 94025 Executive Officer Managing Member of the General Partner Pooled Investment Fund Venture Capital Fund false Not Applicable 06b 3C 3C.1 false true false true false 0 10000000 0 10000000 false 0 0 0 0 false U.S. Venture Partners XII-A, L.P. /s/Dale Holladay Dale Holladay Chief Financial Officer 2019-03-26