The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete. | |||||||||||||||||
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM D Notice of Exempt Offering of Securities |
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1. Issuer's Identity
CIK (Filer ID Number) | Previous Names |
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0001570691 |
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Name of Issuer | |||||||||||||||
Golden State Investment Fund I, LLC | |||||||||||||||
Jurisdiction of Incorporation/Organization | |||||||||||||||
CALIFORNIA | |||||||||||||||
Year of Incorporation/Organization | |||||||||||||||
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2. Principal Place of Business and Contact Information
Name of Issuer | |||
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Golden State Investment Fund I, LLC | |||
Street Address 1 | Street Address 2 | ||
ONE CALIFORNIA STREET | SUITE 2708 | ||
City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
SAN FRANCISCO | CALIFORNIA | 94111 | 415-986-8888 |
3. Related Persons
Last Name | First Name | Middle Name |
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FANG | GINNY | |
Street Address 1 | Street Address 2 | |
ONE CALIFORNIA STREET | SUITE 2708 | |
City | State/Province/Country | ZIP/PostalCode |
SAN FRANCISCO | CALIFORNIA | 94111 |
Relationship: | X | Executive Officer | Director | Promoter |
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Clarification of Response (if Necessary):
CHIEF EXECUTIVE OFFICER OF GSRV I MANAGEMENT, LLC (MANAGER OF THE ISSUER)Last Name | First Name | Middle Name |
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CHELINI | ERIC | |
Street Address 1 | Street Address 2 | |
ONE CALIFORNIA STREET | SUITE 2708 | |
City | State/Province/Country | ZIP/PostalCode |
SAN FRANCISCO | CALIFORNIA | 94111 |
Relationship: | X | Executive Officer | Director | Promoter |
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Clarification of Response (if Necessary):
CO-MANAGER AND CHIEF OPERATING OFFICER OF GSRV I MANAGEMENT, LLC (MANAGER OF THE ISSUER)Last Name | First Name | Middle Name |
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KAY | STEVEN | |
Street Address 1 | Street Address 2 | |
ONE CALIFORNIA STREET | SUITE 2708 | |
City | State/Province/Country | ZIP/PostalCode |
SAN FRANCISCO | CALIFORNIA | 94111 |
Relationship: | X | Executive Officer | Director | Promoter |
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Clarification of Response (if Necessary):
CO-MANAGER AND PRESIDENT OF GSRV I MANAGEMENT, LLC (MANAGER OF THE ISSUER)4. Industry Group
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5. Issuer Size
Revenue Range | OR | Aggregate Net Asset Value Range | ||
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X | No Revenues | No Aggregate Net Asset Value | ||
$1 - $1,000,000 | $1 - $5,000,000 | |||
$1,000,001 - $5,000,000 | $5,000,001 - $25,000,000 | |||
$5,000,001 - $25,000,000 | $25,000,001 - $50,000,000 | |||
$25,000,001 - $100,000,000 | $50,000,001 - $100,000,000 | |||
Over $100,000,000 | Over $100,000,000 | |||
Decline to Disclose | Decline to Disclose | |||
Not Applicable | Not Applicable |
6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
Rule 504(b)(1) (not (i), (ii) or (iii)) | Rule 505 | |||||||||||||||||||||||||||||||||||
Rule 504 (b)(1)(i) | X | Rule 506 | ||||||||||||||||||||||||||||||||||
Rule 504 (b)(1)(ii) | Securities Act Section 4(5) | |||||||||||||||||||||||||||||||||||
Rule 504 (b)(1)(iii) | Investment Company Act Section 3(c) | |||||||||||||||||||||||||||||||||||
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7. Type of Filing
X | New Notice | Date of First Sale | X | First Sale Yet to Occur | ||||
Amendment |
8. Duration of Offering
Does the Issuer intend this offering to last more than one year? |
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9. Type(s) of Securities Offered (select all that apply)
X | Equity | Pooled Investment Fund Interests | |
Debt | Tenant-in-Common Securities | ||
Option, Warrant or Other Right to Acquire Another Security | Mineral Property Securities | ||
Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security | Other (describe) | ||
10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? |
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Clarification of Response (if Necessary):
11. Minimum Investment
Minimum investment accepted from any outside investor | $500,000 | USD |
12. Sales Compensation
Recipient |
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AAE GROUP | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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1712-1713 OFFICE BUILDING EAST, DA ZHONG | HUA INTL, JINTIAN ROAD, FUTIAN DISTRICT | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SHENZHEN CITY, GUANGDONG PROV. | CHINA | 518048 | |||||
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Recipient |
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BEIJING BEREBORN CONSULTING CO.,LTD. | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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NO. 13 NONGZHANGUAN ROAD SOUTH | CHAOYANG DISTRICT | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
BEIJING | CHINA | 100026 | |||||
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Recipient |
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CHIPAC INTERNATIONAL CONSULTING GROUP, LLC | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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2855 CANYON ROAD | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
BURLINGAME | CALIFORNIA | 94010 | |||||
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Recipient |
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DERRICK ZHANG | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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1838 EL CAMINO REAL | #180C | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
BURLINGAME | CALIFORNIA | 94010 | |||||
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Recipient |
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DOWELL GROUP INVESTMENT (U.S.) COMPANY, INC. | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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870 MARKET STREET | SUITE 738 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SAN FRANCISCO | CALIFORNIA | 94102 | |||||
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Recipient |
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EUGENE WONG | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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504 COLUSA AVENUE | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
EL CERRITO | CALIFORNIA | 94530 | |||||
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Recipient |
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JUDY CHU | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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25 SADDLEBROOK COURT | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
OAKLAND | CALIFORNIA | 94619 | |||||
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Recipient |
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VIRENDER GOSWAMI | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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870 MARKET STREET | SUITE 1028 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SAN FRANCISCO | CALIFORNIA | 94102 | |||||
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Recipient |
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JUSTIN WANG | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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111 PINE STREET | SUITE 1225 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SAN FRANCISCO | CALIFORNIA | 94111 | |||||
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Recipient |
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KEFEI WANG | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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1885 LUNDY AVENUE | SUITE 270 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SAN JOSE | CALIFORNIA | 95131 | |||||
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Recipient |
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LELAND WONG | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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10 GOLDMINE STREET | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SAN FRANCISCO | CALIFORNIA | 94131 | |||||
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Recipient |
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MINHAU ZHU | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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713 RAMONA AVENUE | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
ALBANY | CALIFORNIA | 94706 | |||||
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Recipient |
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QIHONG LIN | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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667 CLAY STREET | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SAN FRANCISCO | CALIFORNIA | 94111 | |||||
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Recipient |
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JAMES CAI | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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111 N. MARKET STREET | SUITE 1020 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SAN JOSE | CALIFORNIA | 95113 | |||||
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Recipient |
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SHANGHAI HUAXIA OVERSEAS AFFAIRS SERVICES CO., LTD | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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SUITE 1801 HANZHONG PLAZA | NO. 158 HANZHONG ROAD | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
SHANGHAI CITY | CHINA | 200070 | |||||
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Recipient |
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TSUI MEI | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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FLAT 1119, WANG HONG HOUSE | LOK FU ESTATE, LUK FU | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
KOWLOON | HONG KONG | 999077 | |||||
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Recipient |
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XIODONG DING | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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555 PIERCE STREET | # 1422 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
ALBANY | CALIFORNIA | 94706 | |||||
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Recipient |
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ZHAOHONG LI | None | ||||||
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None | None | ||||||
Street Address 1 | Street Address 2 | ||||||
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11081 SANTA TERESA DRIVE | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
CUPERTINO | CALIFORNIA | 95014 | |||||
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13. Offering and Sales Amounts
Total Offering Amount | $27,000,000 | USD |
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Total Amount Sold | $0 | USD | ||||
Total Remaining to be Sold | $27,000,000 | USD |
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Clarification of Response (if Necessary):
IN ADDITION TO THE $27 MILLION TO BE RAISED THROUGH CAPITAL CONTRIBUTIONS, EACH INVESTOR WILL PAY AN ADMINISTRATIVE FEE OF EITHER $45,000.00 OR $48,000.00.14. Investors
Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering. | |||
Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: |
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15. Sales Commissions & Finder's Fees Expenses
Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions | $0 | USD |
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Finders' Fees | $730,000 | USD |
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Clarification of Response (if Necessary):
16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
$0 | USD |
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Clarification of Response (if Necessary):
Signature and Submission
Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.
Terms of Submission
In submitting this notice, each issuer named above is: |
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Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.
Issuer | Signature | Name of Signer | Title | Date |
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Golden State Investment Fund I, LLC | ROBERT A. BELZER | ROBERT A. BELZER | ATTORNEY | 2013-03-07 |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
* This undertaking does not affect any limits Section 102(a) of the National Securities Markets Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot routinely require offering materials under this undertaking or otherwise and can require offering materials only to the extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.