0001683168-24-006351.txt : 20240913 0001683168-24-006351.hdr.sgml : 20240913 20240912190120 ACCESSION NUMBER: 0001683168-24-006351 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) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20240913 DATE AS OF CHANGE: 20240912 EFFECTIVENESS DATE: 20240913 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Domain Excelsior Evergreen, LP CENTRAL INDEX KEY: 0002035918 ORGANIZATION NAME: IRS NUMBER: 993965983 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-523924 FILM NUMBER: 241296049 BUSINESS ADDRESS: STREET 1: 1230 PEACHTREE ST NE STREET 2: STE 3600 CITY: ATLANTA STATE: GA ZIP: 30309 BUSINESS PHONE: 7706280711 MAIL ADDRESS: STREET 1: 1230 PEACHTREE ST NE STREET 2: STE 3600 CITY: ATLANTA STATE: GA ZIP: 30309 D 1 primary_doc.xml X0708 D LIVE 0002035918 Domain Excelsior Evergreen, LP 1230 PEACHTREE ST NE, STE 3600 ATLANTA GA GEORGIA 30309 770-628-0700 DELAWARE None None Limited Partnership true 2024 N/A Domain Excelsior Evergreen GP, LLC 1230 PEACHTREE ST NE, STE 3600 ATLANTA GA GEORGIA 30309 Director The General Partner of Domain Excelsior Evergreen, LP Patrick R. Leardo 1230 PEACHTREE ST NE, STE 3600 ATLANTA GA GEORGIA 30309 Executive Officer Anthony Tittanegro 1230 PEACHTREE ST NE, STE 3600 ATLANTA GA GEORGIA 30309 Executive Officer Sergil Naviwala 1230 PEACHTREE ST NE, STE 3600 ATLANTA GA GEORGIA 30309 Executive Officer Andrew Lary 1230 PEACHTREE ST NE, STE 3600 ATLANTA GA GEORGIA 30309 Executive Officer Pooled Investment Fund Private Equity Fund false Decline to Disclose 06b 3C 3C.1 3C.7 false 2024-08-30 true true true false 0 Indefinite 202000000 Indefinite false 1 0 0 0 false Domain Excelsior Evergreen, LP /s/ Sergil Naviwala Sergil Naviwala Vice President of General Partner of Issuer 2024-09-12