0001209191-22-006228.txt : 20220202 0001209191-22-006228.hdr.sgml : 20220202 20220202122845 ACCESSION NUMBER: 0001209191-22-006228 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20220202 DATE AS OF CHANGE: 20220202 EFFECTIVENESS DATE: 20220202 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Origin Growth Fund IV, LLC CENTRAL INDEX KEY: 0001908325 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-431882 FILM NUMBER: 22582378 BUSINESS ADDRESS: STREET 1: 121 WEST WACKER DRIVE STREET 2: SUITE 1000 CITY: CHICAGO STATE: IL ZIP: 60601 BUSINESS PHONE: (800) 628-8008 MAIL ADDRESS: STREET 1: 121 WEST WACKER DRIVE STREET 2: SUITE 1000 CITY: CHICAGO STATE: IL ZIP: 60601 D 1 primary_doc.xml X0708 D LIVE 0001908325 Origin Growth Fund IV, LLC 121 West Wacker Drive Suite 1000 Chicago IL ILLINOIS 60601 (800) 628-8008 DELAWARE None None Limited Liability Company true 2021 N/A Origin Manager IV, LLC 121 West Wacker Drive Suite 1000 Chicago IL ILLINOIS 60601 Executive Officer Managing Member of the Issuer N/A Origin Investco IV, LLC 121 West Wacker Drive Suite 1000 Chicago IL ILLINOIS 60601 Executive Officer Investment Manager of the Issuer Michael Episcope 121 West Wacker Drive Suite 1000 Chicago IL ILLINOIS 60601 Executive Officer Executive officers of the managing member and investment manager David Scherer 121 West Wacker Drive Suite 1000 Chicago IL ILLINOIS 60601 Executive Officer Executive officers of the managing member and investment manager Pooled Investment Fund Other Investment Fund false Decline to Disclose 06c 3C.7 3C false true true true false 5000000 Indefinite 0 Indefinite false 0 0 0 0 A management fee is paid to the Investment Manager and the Managing Member will also receive carried interest and a performance allocation, as described in the Issuer's offering documents. false Origin Growth Fund IV, LLC /s/ Michael B. McVickar Michael B. McVickar GC and Secretary of the IM of the Issuer 2022-01-18