0001947610-22-000001.txt : 20220928 0001947610-22-000001.hdr.sgml : 20220928 20220928082053 ACCESSION NUMBER: 0001947610-22-000001 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: 20220928 DATE AS OF CHANGE: 20220928 EFFECTIVENESS DATE: 20220928 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CD&R Fund XII Private Investors, LLC CENTRAL INDEX KEY: 0001947610 IRS NUMBER: 882503580 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-460047 FILM NUMBER: 221272837 BUSINESS ADDRESS: STREET 1: 390 MADISON AVENUE, 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2122708867 MAIL ADDRESS: STREET 1: 390 MADISON AVENUE, 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 D 1 primary_doc.xml X0708 D LIVE 0001947610 CD&R Fund XII Private Investors, LLC 390 MADISON AVENUE, 6TH FLOOR NEW YORK NY NEW YORK 10017 2122708867 DELAWARE None None Limited Liability Company true 2022 n/a J.P. Morgan Private Investments Inc. 390 Madison Avenue New York NY NEW YORK 10179 Promoter Administrator. Rishabh D Parikh 390 Madison Avenue New York NY NEW YORK 10017 Executive Officer Vice President of the Administrator of the Issuer. Grant Cellier Intertrust Corp Services (Cayman) Ltd. One Nexus Way Camana Bay, Grand Cayman E9 CAYMAN ISLANDS KY1-9005 Executive Officer Member, Board of Managers. Richard Ruffer Intertrust Corp Services (Cayman) Ltd. One Nexus Way Camana Bay, Grand Cayman E9 CAYMAN ISLANDS KY1-9005 Executive Officer Member, Board of Managers. Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 false 2022-09-13 false true false 0 N/A None J.P. Morgan Securities LLC ("JPM") 79 383 Madison Avenue New York NY NEW YORK 10179 All States false Indefinite 379190000 Indefinite false 349 3733700 true 0 0 false CD&R Fund XII Private Investors, LLC Rishabh D Parikh Rishabh D Parikh Vice President of Administrator of the Issuer 2022-09-28