0001795006-19-000001.txt : 20191210 0001795006-19-000001.hdr.sgml : 20191210 20191210112540 ACCESSION NUMBER: 0001795006-19-000001 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) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20191210 DATE AS OF CHANGE: 20191210 EFFECTIVENESS DATE: 20191210 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Third Lake PE Vista Foundation Fund IV, LLC CENTRAL INDEX KEY: 0001795006 IRS NUMBER: 843642431 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-355174 FILM NUMBER: 191276823 BUSINESS ADDRESS: STREET 1: 1600 EAST 8TH AVENUE STREET 2: SUITE A-132 CITY: TAMPA STATE: FL ZIP: 33605 BUSINESS PHONE: 813-497-8100 MAIL ADDRESS: STREET 1: 1600 EAST 8TH AVENUE STREET 2: SUITE A-132 CITY: TAMPA STATE: FL ZIP: 33605 D 1 primary_doc.xml X0708 D LIVE 0001795006 Third Lake PE Vista Foundation Fund IV, LLC 1600 EAST 8TH AVENUE SUITE A-132 TAMPA FL FLORIDA 33605 813-497-8100 DELAWARE None None Limited Liability Company true 2019 N/A Third Lake Partners, LLC 1600 East 8th Avenue Suite A-132 Tampa FL FLORIDA 33605 Director Manager of the Issuer Kenneth Jones 1600 East 8th Avenue Suite A-132 Tampa FL FLORIDA 33605 Executive Officer CEO of the Manager of the Issuer Robert Forsythe 1600 East 8th Avenue Suite A-132 Tampa FL FLORIDA 33605 Executive Officer COO of the Manager of the Issuer Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.1 3C.7 false true false true true false 0 Indefinite 0 Indefinite false 0 0 0 0 false Third Lake PE Vista Foundation Fund IV, LLC /s/ Robert Forsythe Robert Forsythe COO of the Manager of the Issuer 2019-11-19