0001795213-21-000001.txt : 20210121 0001795213-21-000001.hdr.sgml : 20210121 20210121142910 ACCESSION NUMBER: 0001795213-21-000001 CONFORMED SUBMISSION TYPE: D/A 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: 20210121 DATE AS OF CHANGE: 20210121 EFFECTIVENESS DATE: 20210121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FULCRUM GROWTH FUND IV QP, LLC CENTRAL INDEX KEY: 0001795213 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-354441 FILM NUMBER: 21541521 BUSINESS ADDRESS: STREET 1: 5555 GLENRIDGE CONNECTOR STREET 2: SUITE 930 CITY: ATLANTA STATE: GA ZIP: 30342 BUSINESS PHONE: (770) 551-6300 MAIL ADDRESS: STREET 1: 5555 GLENRIDGE CONNECTOR STREET 2: SUITE 930 CITY: ATLANTA STATE: GA ZIP: 30342 D/A 1 primary_doc.xml X0708 D/A LIVE 0001795213 FULCRUM GROWTH FUND IV QP, LLC 5555 GLENRIDGE CONNECTOR SUITE 930 ATLANTA GA GEORGIA 30342 (770) 551-6300 DELAWARE None None Limited Liability Company true 2019 Jeffrey S Muir C/O 5555 GLENRIDGE CONNECTOR, SUITE 930 ATLANTA GA GEORGIA 30342 Executive Officer Director MANAGER OF FULCRUM FUND IV MANAGER, LLC, MANAGER Frank X Dalton C/O 5555 GLENRIDGE CONNECTOR, SUITE 930 ATLANTA GA GEORGIA 30342 Director James S Douglass C/O 5555 GLENRIDGE CONNECTOR, SUITE 930 ATLANTA GA GEORGIA 30342 Director Thomas L Greer C/O 5555 GLENRIDGE CONNECTOR, SUITE 930 ATLANTA GA GEORGIA 30342 Director Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.7 true 0001795213-19-000001 2019-11-15 true true false 0 250000000 222390000 27610000 false 243 0 0 0 false FULCRUM GROWTH FUND IV QP, LLC /s/ Jeffrey S. Muir Jeffrey S. Muir Manager of Fulcrum Fund IV Manager, LLC 2021-01-21