0001878709-21-000001.txt : 20211215 0001878709-21-000001.hdr.sgml : 20211215 20211215134850 ACCESSION NUMBER: 0001878709-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20211215 DATE AS OF CHANGE: 20211215 EFFECTIVENESS DATE: 20211215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EquityZen Growth Technology Fund LLC - Series 1004 CENTRAL INDEX KEY: 0001878709 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-425116 FILM NUMBER: 211493825 BUSINESS ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 BUSINESS PHONE: (801) 419-0677 MAIL ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 D 1 primary_doc.xml X0708 D LIVE 0001878709 EquityZen Growth Technology Fund LLC - Series 1004 30 Broad Street Suite 1200 New York NY NEW YORK 10004 (877) 490-6121 DELAWARE None None Limited Liability Company true 2021 LLC EquityZen Advisors 30 Broad Street Suite 1200 New York NY NEW YORK 10004 Executive Officer Director Manager Richard Thoms PO BOX 171305 Salt Lake City UT UTAH 84117 Executive Officer Attorney-in-Fact of the issuer LLC Assure Fund Management II PO BOX 171305 Salt Lake City UT UTAH 84117 Director Administrator Philip Haslett 30 Broad Street Suite 1200 New York NY NEW YORK 10004 Executive Officer Director Manager Representative Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C.7 false 2021-12-10 false true true false 10000 EquityZen Securities LLC 281820 EquityZen Securities LLC 281820 30 Broad Street Suite 1200 New York NY NEW YORK 10004 All States 1304000 1304000 0 false 55 65200 0 0 EquityZen Growth Technology Fund LLC - Series 1004 Richard Thoms Richard Thoms Attorney-in-Fact of the issuer 2021-12-15