0001925299-22-000001.txt : 20220512 0001925299-22-000001.hdr.sgml : 20220512 20220512142644 ACCESSION NUMBER: 0001925299-22-000001 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: 20220512 DATE AS OF CHANGE: 20220512 EFFECTIVENESS DATE: 20220512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SR One Co-Invest XII, LLC CENTRAL INDEX KEY: 0001925299 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-445472 FILM NUMBER: 22917213 BUSINESS ADDRESS: STREET 1: C/O SR ONE CAPITAL MANAGEMENT, LP STREET 2: 985 OLD EAGLE SCHOOL ROAD, SUITE 511 CITY: WAYNE STATE: PA ZIP: 19087 BUSINESS PHONE: (215) 680-9569 MAIL ADDRESS: STREET 1: C/O SR ONE CAPITAL MANAGEMENT, LP STREET 2: 985 OLD EAGLE SCHOOL ROAD, SUITE 511 CITY: WAYNE STATE: PA ZIP: 19087 D 1 primary_doc.xml X0708 D LIVE 0001925299 SR One Co-Invest XII, LLC C/O SR ONE CAPITAL MANAGEMENT, LP 985 OLD EAGLE SCHOOL ROAD, SUITE 511 WAYNE PA PENNSYLVANIA 19087 (215) 680-9569 DELAWARE None None Limited Liability Company true 2022 Simeon George c/o SR One Capital Management, LP 985 Old Eagle School Road, Suite 511 Wayne PA PENNSYLVANIA 19087 Executive Officer Managing Member of the Ultimate Managing Member of Issuer Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.7 false true true true true false 0 Indefinite 0 Indefinite false 0 0 0 0 false SR One Co-Invest XII, LLC Simeon George Simeon George Mnging Mbr of the Ultimate Managing Member of the Issuer 2022-05-12