0001967756-23-000001.txt : 20230306 0001967756-23-000001.hdr.sgml : 20230306 20230306105633 ACCESSION NUMBER: 0001967756-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20230306 DATE AS OF CHANGE: 20230306 EFFECTIVENESS DATE: 20230306 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Headlands Capital Secondary Fund IV-CIP, LP CENTRAL INDEX KEY: 0001967756 IRS NUMBER: 921800805 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-474942 FILM NUMBER: 23707976 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 1600 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 415-263-7300 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 1600 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 D 1 primary_doc.xml X0708 D LIVE 0001967756 Headlands Capital Secondary Fund IV-CIP, LP ONE EMBARCADERO CENTER, SUITE 1600 SAN FRANCISCO CA CALIFORNIA 94111 415-263-7300 DELAWARE None None Limited Partnership true 2023 - Headlands Capital Secondary Management IV, LLC One Embarcadero Center, Suite 1600 San Francisco CA CALIFORNIA 94111 Promoter The General Partner of the Issuer (the "GP") - Headlands Capital, LLC One Embarcadero Center, Suite 1600 San Francisco CA CALIFORNIA 94111 Promoter Managing Member of the GP ("the MM") David E. Park, III One Embarcadero Center, Suite 1600 San Francisco CA CALIFORNIA 94111 Executive Officer Managing Member of the MM Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.7 false true false true false 0 Indefinite 0 Indefinite false 0 0 0 0 false Headlands Capital Secondary Fund IV-CIP, LP /s/ David E. Park, III David E. Park, III Managing Member of the MM 2023-03-06