0001856251-21-000001.txt : 20210414 0001856251-21-000001.hdr.sgml : 20210414 20210414150033 ACCESSION NUMBER: 0001856251-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20210414 DATE AS OF CHANGE: 20210414 EFFECTIVENESS DATE: 20210414 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CAIS Adams Street Private Income Fund LLC CENTRAL INDEX KEY: 0001856251 IRS NUMBER: 862022185 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-395792 FILM NUMBER: 21825477 BUSINESS ADDRESS: STREET 1: 527 MADISON AVENUE STREET 2: 2ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 212-300-9350 MAIL ADDRESS: STREET 1: 527 MADISON AVENUE STREET 2: 2ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 D 1 primary_doc.xml X0708 D LIVE 0001856251 CAIS Adams Street Private Income Fund LLC 527 MADISON AVENUE 2ND FLOOR NEW YORK NY NEW YORK 10022 212-300-9350 DELAWARE None None Limited Liability Company true 2021 n/a n/a Capital Integration Systems LLC 527 Madison Avenue 2nd Floor New York NY NEW YORK 10022 Promoter Managing Member Matthew C Brown Capital Integration Systems LLC 527 Madison Avenue, 2nd Floor New York NY NEW YORK 10022 Executive Officer Managing Principal of the Managing Member Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.7 false 2021-04-01 true true false 250000 Indefinite 1750000 Indefinite false 4 0 0 0 false CAIS Adams Street Private Income Fund LLC Timothy Shannon Timothy Shannon President 2021-04-14