0001919784-22-000004.txt : 20221223 0001919784-22-000004.hdr.sgml : 20221223 20221223152411 ACCESSION NUMBER: 0001919784-22-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20221223 DATE AS OF CHANGE: 20221223 EFFECTIVENESS DATE: 20221223 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Structural Capital Primary Co-Investment Fund, LLC CENTRAL INDEX KEY: 0001919784 IRS NUMBER: 862828647 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-468651 FILM NUMBER: 221485123 BUSINESS ADDRESS: STREET 1: 400 OYSTER POINT BLVD., STE. 229 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 650.906.6936 MAIL ADDRESS: STREET 1: 400 OYSTER POINT BLVD., STE. 229 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 D 1 primary_doc.xml X0708 D LIVE 0001919784 Structural Capital Primary Co-Investment Fund, LLC 400 OYSTER POINT BLVD., STE. 229 SOUTH SAN FRANCISCO CA CALIFORNIA 94080 650.906.6936 DELAWARE None None Limited Liability Company true 2021 n/a Structural Capital GP III, LLC 400 Oyster Point Blvd., Ste. 229 South San Francisco CA CALIFORNIA 94080 Executive Officer Manager of the Issuer Lawrence Gross 400 Oyster Point Blvd., Ste. 229 South San Francisco CA CALIFORNIA 94080 Executive Officer Managing Member of the Manager of the Issuer Kai Tse 400 Oyster Point Blvd., Ste. 229 South San Francisco CA CALIFORNIA 94080 Executive Officer Managing Member of the Manager of the Issuer Todd Jaquez-Fissori 400 Oyster Point Blvd., Ste. 229 South San Francisco CA CALIFORNIA 94080 Executive Officer Member of the Manager of the Issuer Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.1 false 2022-12-13 false true true true Limited liability company membership interests in Series PCI Grove series of the Issuer false 0 4000000 4000000 0 false 6 0 0 0 false Structural Capital Primary Co-Investment Fund, LLC /s/ Lawrence Gross Lawrence Gross Managing Member of Structural Capital GP III, LLC 2022-12-22