0001883909-21-000002.txt : 20210920 0001883909-21-000002.hdr.sgml : 20210920 20210920134738 ACCESSION NUMBER: 0001883909-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20210920 DATE AS OF CHANGE: 20210920 EFFECTIVENESS DATE: 20210920 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provenance Fireclay SPV, LP CENTRAL INDEX KEY: 0001883909 IRS NUMBER: 811816430 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-413895 FILM NUMBER: 211262715 BUSINESS ADDRESS: STREET 1: 8383 WILSHIRE BLVD SUITE 629 CITY: BEVERLY HILLS STATE: CA ZIP: 90211 BUSINESS PHONE: 310-388-8763 MAIL ADDRESS: STREET 1: 8383 WILSHIRE BLVD SUITE 629 CITY: BEVERLY HILLS STATE: CA ZIP: 90211 D 1 primary_doc.xml X0708 D LIVE 0001883909 Provenance Fireclay SPV, LP 8383 WILSHIRE BLVD SUITE 629 BEVERLY HILLS CA CALIFORNIA 90211 310-388-8763 DELAWARE None None Limited Partnership true 2021 Anthony Choe 8383 Wilshire Blvd Ste 629 Beverly Hills CA CALIFORNIA 90211 Executive Officer Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06c 3C 3C.1 false 2021-09-08 false true false 0 Indefinite 21000000 Indefinite false 7 0 0 0 false Provenance Fireclay SPV, LP Anthony Choe Anthony Choe Managing Member/Authorized Person 2021-09-20