0001966513-23-000001.txt : 20230228
0001966513-23-000001.hdr.sgml : 20230228
20230228104718
ACCESSION NUMBER: 0001966513-23-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
ITEM INFORMATION: Investment Company Act Section 3(c)
ITEM INFORMATION: Section 3(c)(1)
FILED AS OF DATE: 20230228
DATE AS OF CHANGE: 20230228
EFFECTIVENESS DATE: 20230228
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: PROOF III SHI LLC
CENTRAL INDEX KEY: 0001966513
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-474423
FILM NUMBER: 23680176
BUSINESS ADDRESS:
STREET 1: 11911 FREEDOM DR SUITE 1080
CITY: RESTON
STATE: VA
ZIP: 20190
BUSINESS PHONE: 7035634100
MAIL ADDRESS:
STREET 1: 11911 FREEDOM DR SUITE 1080
CITY: RESTON
STATE: VA
ZIP: 20190
D
1
primary_doc.xml
X0708
D
LIVE
0001966513
PROOF III SHI LLC
11911 FREEDOM DR SUITE 1080
RESTON
VA
VIRGINIA
20190
7035634100
DELAWARE
None
None
Limited Liability Company
true
2023
JOHN
C
BACKUS JR
11911 FREEDOM DR STE 1080
RESTON
VA
VIRGINIA
20190
Director
THANASIS
DELISTATHIS
11911 FREEDOM DR STE 1080
RESTON
VA
VIRGINIA
20190
Director
JENNIFER
A
SCHRETTER
11911 FREEDOM DR STE 1080
RESTON
VA
VIRGINIA
20190
Director
NONE
PROOF MANAGEMENT, LLC
11911 FREEDOM DR., STE 1080
RESTON
VA
VIRGINIA
20190
Executive Officer
Pooled Investment Fund
Venture Capital Fund
false
Decline to Disclose
- 06b
- 3C
- 3C.1
false
2023-02-15
false
true
false
0
NONE
None
None
None
NONE
NONE
VA
VIRGINIA
NONE
All States
true
3337899
3337899
0
false
29
0
0
131080
false
PROOF III SHI LLC
MICHAEL W ZARLENGA
MICHAEL W ZARLENGA
GENERAL COUNSEL
2023-02-28