0000950142-20-001113.txt : 20200414 0000950142-20-001113.hdr.sgml : 20200414 20200414170044 ACCESSION NUMBER: 0000950142-20-001113 CONFORMED SUBMISSION TYPE: D 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: 20200414 DATE AS OF CHANGE: 20200414 EFFECTIVENESS DATE: 20200414 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KKR Special Situations (Domestic) Fund Private Investors III L.P. CENTRAL INDEX KEY: 0001802786 IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-364963 FILM NUMBER: 20791820 BUSINESS ADDRESS: STREET 1: 555 CALIFORNIA STREET, 50TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 415-315-3620 MAIL ADDRESS: STREET 1: 555 CALIFORNIA STREET, 50TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94104 D 1 primary_doc.xml X0708 D LIVE 0001802786 KKR Special Situations (Domestic) Fund Private Investors III L.P. POB 309, UGLAND HOUSE GRAND CAYMAN E9 CAYMAN ISLANDS KY1-1104 212-750-8300 CAYMAN ISLANDS None None Limited Partnership true 2019 - KKR Associates Dislocation Opportunities SCSp 2, RUE EDWARD STEICHEN LUXEMBOURG N4 LUXEMBOURG L-2540 Promoter General Partner of the Issuer Jeffrey B. Van Horn 555 California Street 50th Floor San Francisco CA CALIFORNIA 94104 Director Director of KKR Dislocation Opportunities Limited (Member of the GP of the GP of the Issuer) Daniel O'Neill 555 California Street 50th Floor San Francisco CA CALIFORNIA 94104 Director Director of KKR Dislocation Opportunities Limited (Member of the GP of the GP of the Issuer) Noah Greenhill 9 West 57th Street Suite 4200 New York NY NEW YORK 10019 Executive Officer Vice President of KKR Dislocation Opportunities Limited (Member of the GP of the GP of the Issuer) Jeffrey M. Smith 555 California Street 50th Floor San Francisco CA CALIFORNIA 94104 Executive Officer Vice President of KKR Dislocation Opportunities Limited (Member of the GP of the GP of the Issuer) Adam Nowak 555 California Street 50th Floor San Francisco CA CALIFORNIA 94104 Executive Officer Vice President of KKR Dislocation Opportunities Limited (Member of the GP of the GP of the Issuer) Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.7 false true false true false 100000 Indefinite 0 Indefinite false 0 0 0 0 false KKR Special Situations (Domestic) Fund Private Investors III L.P. /s/ Daniel O'Neill Daniel O'Neill VP of the Member of the GP of the GP of the Issuer 2020-04-14