0001874602-21-000001.txt : 20210723 0001874602-21-000001.hdr.sgml : 20210723 20210723112836 ACCESSION NUMBER: 0001874602-21-000001 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: 20210723 DATE AS OF CHANGE: 20210723 EFFECTIVENESS DATE: 20210723 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Third Lake PC PEO Fund, LLC CENTRAL INDEX KEY: 0001874602 IRS NUMBER: 871600269 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-407512 FILM NUMBER: 211109827 BUSINESS ADDRESS: STREET 1: 1600 EAST 8TH AVENUE STREET 2: SUITE A132-A CITY: TAMPA STATE: FL ZIP: 33605 BUSINESS PHONE: 813-497-8100 MAIL ADDRESS: STREET 1: 1600 EAST 8TH AVENUE STREET 2: SUITE A132-A CITY: TAMPA STATE: FL ZIP: 33605 D 1 primary_doc.xml X0708 D LIVE 0001874602 Third Lake PC PEO Fund, LLC 1600 EAST 8TH AVENUE SUITE A132-A TAMPA FL FLORIDA 33605 813-497-8100 DELAWARE None None Limited Liability Company true 2021 N/A Third Lake Partners, LLC 1600 East 8th Avenue Suite A132-A Tampa FL FLORIDA 33605 Director Manager of the Issuer Kenneth Jones 1600 East 8th Avenue Suite A132-A Tampa FL FLORIDA 33605 Executive Officer CEO of the Manager of the Issuer Robert Forsythe 1600 East 8th Avenue Suite A132-A Tampa FL FLORIDA 33605 Executive Officer COO of the Manager of the Issuer Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 false true false true true false 0 Indefinite 0 Indefinite false 0 0 0 0 false Third Lake PC PEO Fund, LLC Robert Forsythe Robert Forsythe COO of the Manager of the Issuer 2021-07-20