0001393725-20-000057.txt : 20200316 0001393725-20-000057.hdr.sgml : 20200316 20200316115002 ACCESSION NUMBER: 0001393725-20-000057 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: 20200316 DATE AS OF CHANGE: 20200316 EFFECTIVENESS DATE: 20200316 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BlueCross BlueShield Venture Partners IV, LLC CENTRAL INDEX KEY: 0001806024 IRS NUMBER: 844192145 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-362893 FILM NUMBER: 20715968 BUSINESS ADDRESS: STREET 1: 225 N. MICHIGAN AVENUE CITY: CHICAGO STATE: IL ZIP: 60601 BUSINESS PHONE: 312-297-6560 MAIL ADDRESS: STREET 1: 225 N. MICHIGAN AVENUE CITY: CHICAGO STATE: IL ZIP: 60601 D 1 primary_doc.xml X0708 D LIVE 0001806024 BlueCross BlueShield Venture Partners IV, LLC 225 N. MICHIGAN AVENUE CHICAGO IL ILLINOIS 60601 312-297-6560 DELAWARE None None Limited Liability Company true 2020 N/A Blue Cross Blue Shield Association 225 N. MICHIGAN AVENUE CHICAGO IL ILLINOIS 60601 Promoter John Banta 225 N. MICHIGAN AVENUE CHICAGO IL ILLINOIS 60601 Executive Officer President and Managing Director of the Issuer Scott Nehs 225 N. MICHIGAN AVENUE CHICAGO IL ILLINOIS 60601 Executive Officer General Counsel of the Promoter Brad Lubrand 225 N. MICHIGAN AVENUE CHICAGO IL ILLINOIS 60601 Executive Officer Treasurer of the Issuer Mitch Perry 4613 University Drive Durham NC NORTH CAROLINA 27707 Executive Officer Chair of the Board of the Issuer Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.1 3C.7 false true false true false 0 Indefinite 0 Indefinite false 0 0 0 0 false BlueCross BlueShield Venture Partners IV, LLC /s/ John Banta John Banta President and Managing Director of the Issuer 2020-03-16