0001940138-22-000002.txt : 20220826 0001940138-22-000002.hdr.sgml : 20220826 20220826100537 ACCESSION NUMBER: 0001940138-22-000002 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: 20220826 DATE AS OF CHANGE: 20220826 EFFECTIVENESS DATE: 20220826 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Clayton, Dubilier & Rice Fund XII, L.P. CENTRAL INDEX KEY: 0001940138 IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-457103 FILM NUMBER: 221200411 BUSINESS ADDRESS: STREET 1: 375 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10152 BUSINESS PHONE: 212-407-5200 MAIL ADDRESS: STREET 1: 375 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10152 D 1 primary_doc.xml X0708 D LIVE 0001940138 Clayton, Dubilier & Rice Fund XII, L.P. 375 PARK AVENUE NEW YORK NY NEW YORK 10152 212-407-5200 CAYMAN ISLANDS None None Other a Cayman Islands exempted limited partnership true 2022 - CD&R Associates XII, L.P. MAPLES CORPORATE SERVICES LIMITED UGLAND HOUSE GRAND CAYMAN E9 CAYMAN ISLANDS KY1-1104 Promoter - CD&R Investment Associates XII, Ltd. MAPLES CORPORATE SERVICES LIMITED UGLAND HOUSE GRAND CAYMAN E9 CAYMAN ISLANDS KY1-1104 Promoter General partner of the general partner Donald J. Gogel c/o Clayton, Dubilier & Rice, LLC 375 Park Avenue New York NY NEW YORK 10152 Executive Officer Executive officer of the general partner of the general partner Jillian C. Griffiths c/o Clayton, Dubilier & Rice, LLC 375 Park Avenue New York NY NEW YORK 10152 Executive Officer Executive officer of the general partner of the general partner David A. Novak c/o Clayton, Dubilier & Rice, LLC 375 Park Avenue New York NY NEW YORK 10152 Executive Officer Executive officer of the general partner of the general partner Richard J. Schnall c/o Clayton, Dubilier & Rice, LLC 375 Park Avenue New York NY NEW YORK 10152 Executive Officer Executive officer of the general partner of the general partner Rima Simson c/o Clayton, Dubilier & Rice, LLC 375 Park Avenue New York NY NEW YORK 10152 Executive Officer Executive officer of the general partner of the general partner Nathan K. Sleeper c/o Clayton, Dubilier & Rice, LLC 375 Park Avenue New York NY NEW YORK 10152 Executive Officer Executive officer of the general partner of the general partner Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.7 false true false true true false 0 Not Applicable None HMC ITAJUBA None AV. NUEVA COSTANERA SANTIAGO F3 CHILE 4040 true Not Applicable None J.P. Morgan Securities LLC 79 383 MADISON AVENUE NEW YORK NY NEW YORK 10179 All States false Not Applicable None UBS Financial Services Inc. 8174 1200 HARBOR BOULEVARD WEEHAWKEN NJ NEW JERSEY 07086 All States false Not Applicable None RAYMOND JAMES & ASSOCIATES, INC. 705 880 CARILLON PARKWAY ST. PETERSBURG FL FLORIDA 33716 All States false Not Applicable None RAYMOND JAMES FINANCIAL SERVICES, INC. 6694 880 CARILLON PARKWAY ST. PETERSBURG FL FLORIDA 33716 All States false Not Applicable None BROOKLANDS CAPITAL STRATEGIES BD, LP 281951 909 MONTGOMERY ST. 4TH FLOOR SAN FRANCISCO CA CALIFORNIA 94133 AL ALABAMA AK ALASKA AZ ARIZONA AR ARKANSAS CA CALIFORNIA CO COLORADO CT CONNECTICUT DE DELAWARE DC DISTRICT OF COLUMBIA FL FLORIDA GA GEORGIA HI HAWAII ID IDAHO IL ILLINOIS IN INDIANA IA IOWA KS KANSAS KY KENTUCKY LA LOUISIANA ME MAINE MD MARYLAND MA MASSACHUSETTS MI MICHIGAN MN MINNESOTA MS MISSISSIPPI MO MISSOURI MT MONTANA NE NEBRASKA NV NEVADA NH NEW HAMPSHIRE NJ NEW JERSEY NM NEW MEXICO NY NEW YORK NC NORTH CAROLINA ND NORTH DAKOTA OH OHIO OK OKLAHOMA OR OREGON PA PENNSYLVANIA RI RHODE ISLAND SC SOUTH CAROLINA SD SOUTH DAKOTA TN TENNESSEE TX TEXAS UT UTAH VT VERMONT VA VIRGINIA WA WASHINGTON WV WEST VIRGINIA WI WISCONSIN WY WYOMING false Not Applicable None Leader Private Capital Ltd. None 21 HA'ARBAA STREET TEL AVIV L3 ISRAEL 64739 true Not Applicable None DS Investment Securities Co., Ltd. None KTB BUILDING, 3RD FLOOR 66, YEOUI-DAERO, YEONGDEUNGPO-GU SEOUL M5 KOREA, REPUBLIC OF 07325 true Not Applicable None Ark Totan Alternative Co., Ltd. None 9TH FLOOR HITOTSUBASHI SI BUILDING 3-26 KANDA-NISHIKICHO CHIYODA-KU TOKYO M0 JAPAN 101-0054 true Indefinite 0 Indefinite false 0 45000000 true 0 true Estimate includes sales commissions of Fund and affiliated funds. 0 true false Clayton, Dubilier & Rice Fund XII, L.P. /s/ Rima Simson Rima Simson Vice President, Treasurer & Secretary of GP of GP of Issuer 2022-08-26