0001209191-20-046379.txt : 20200812 0001209191-20-046379.hdr.sgml : 20200812 20200812163412 ACCESSION NUMBER: 0001209191-20-046379 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: 20200812 DATE AS OF CHANGE: 20200812 EFFECTIVENESS DATE: 20200812 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IVP Executive Fund XVII, LLC CENTRAL INDEX KEY: 0001813240 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-373097 FILM NUMBER: 201095878 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6508540132 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0708 D LIVE 0001813240 IVP Executive Fund XVII, LLC 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 (650) 854-0132 DELAWARE None None Limited Liability Company true 2020 n/a Institutional Venture Management XVII, LLC 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter Manager to the Issuer ("Manager") Todd Chaffee 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter A Managing Member of the Manager Somesh Dash 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter A Managing Member of the Manager Stephen Harrick 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter A Managing Member of the Manager Eric Liaw 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter A Managing Member of the Manager Thomas Loverro 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter A Managing Member of the Manager Jules Maltz 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter A Managing Member of the Manager J. Sanford Miller 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter A Managing Member of the Manager Dennis Phelps 3000 Sand Hill Road, Suite 2-250 Menlo Park CA CALIFORNIA 94025 Promoter A Managing Member of the Manager Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C.7 3C false true false true false 0 Indefinite 0 Indefinite false 0 0 0 0 The Issuer is obligated to pay a management fee to the Manager (or an affiliate thereof). false IVP Executive Fund XVII, LLC /s/ Thomas Loverro Thomas Loverro A Managing Member of the Manager 2020-08-12