# EDGAR Filing Document

**Accession Number:** 0001850787
**File Stem:** 0001104659-23-006485
**Filing Date:** 2023-1
**Character Count:** 19536
**Document Hash:** 6b73a39662a9c5117a4ae24d5332c8c2
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001104659-23-006485.hdr.sgml**: 20230125

**ACCESSION NUMBER**: 0001104659-23-006485

**CONFORMED SUBMISSION TYPE**: SC 13D/A

**PUBLIC DOCUMENT COUNT**: 1

**FILED AS OF DATE**: 20230125

**DATE AS OF CHANGE**: 20230125

**GROUP MEMBERS**: HERSHEL HARPER

**GROUP MEMBERS**: UAW CHRYSLER RETIREES MEDICAL BENEFITS PLAN

**GROUP MEMBERS**: UAW FORD RETIREES MEDICAL BENEFITS PLAN

**GROUP MEMBERS**: UAW GM RETIREES MEDICAL BENEFITS PLAN

**SUBJECT COMPANY**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Kayne DL 2021, Inc.
- **CENTRAL INDEX KEY:** 0001850787
- **IRS NUMBER:** 862440860
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** SC 13D/A
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 005-93149
- **FILM NUMBER:** 23551829

**BUSINESS ADDRESS:**
- **STREET 1:** 811 MAIN STREET, 14TH FLOOR
- **CITY:** HOUSTON
- **STATE:** TX
- **ZIP:** 77002
- **BUSINESS PHONE:** 713-493-2020

**MAIL ADDRESS:**
- **STREET 1:** 811 MAIN STREET, 14TH FLOOR
- **CITY:** HOUSTON
- **STATE:** TX
- **ZIP:** 77002
**FILED BY**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** UAW Retiree Medical Benefits Trust
- **CENTRAL INDEX KEY:** 0001480561
- **IRS NUMBER:** 900424876
- **STATE OF INCORPORATION:** XX
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** SC 13D/A

**BUSINESS ADDRESS:**
- **STREET 1:** 200 WALKER STREET
- **CITY:** DETROIT
- **STATE:** MI
- **ZIP:** 48207
- **BUSINESS PHONE:** 313-324-5928

**MAIL ADDRESS:**
- **STREET 1:** 200 WALKER STREET
- **CITY:** DETROIT
- **STATE:** MI
- **ZIP:** 48207

**UNITED STATES<br> SECURITIES AND EXCHANGE COMMISSION<br> Washington, D.C. 20549**

**SCHEDULE 13D/A**

**Under the Securities Exchange Act of 1934<br> (Amendment No. 5)\***

**KAYNE DL 2021, INC.**

(Name of Issuer)

Common Stock, $0.001 par value per share

(Title of Class of Securities)

None

(CUSIP Number)

Garon Meikle<br> Chief Financial Officer

UAW Retiree Medical Benefits Trust

1155 Brewery Park Blvd., Suite 400

Detroit, MI 48207

(313) 324-5900

(Name, Address and Telephone Number of Person<br> Authorized to Receive Notices and Communications)

January 13, 2023

(Date of Event which Requires Filing of this Statement)

If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. □

**Note**: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 for other parties to whom copies are to be sent.

<sup>\*</sup> The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

CUSIP No. None 13D

1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)<br>
<br> UAW Retiree Medical Benefits Trust

2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br>
(see instructions)<br>
(a) ⌧ <br>
(b) ◻

3. SEC USE ONLY<br>

4. SOURCE OF FUNDS (see instructions)<br>
WC

5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) ◻

6. CITIZENSHIP OR PLACE OF ORGANIZATION<br>
None. Organized as a 501(c)(9) Voluntary Employee Beneficiary Association.

---

| | | |
|:---|:---|:---|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7. | SOLE VOTING POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 8. | SHARED VOTING POWER <br>20,690 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 9. | SOLE DISPOSITIVE POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 10. | SHARED DISPOSITIVE POWER<br>20,690 |

---

11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON <br>
20,690

12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES<br>
(see instructions) ◻

13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) <br>
99.0%

14. TYPE OF REPORTING PERSON (see instructions) <br>
EP

CUSIP No. None 13D

1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)<br>
UAW Chrysler Retirees Medical Benefits Plan

2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br>
(see instructions)<br>
(a) ⌧ <br>
(b) ◻

3. SEC USE ONLY<br>

4. SOURCE OF FUNDS (see instructions)<br>
WC

5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) ◻

6. CITIZENSHIP OR PLACE OF ORGANIZATION<br>
None. Organized as a 501(c)(9) Voluntary Employee Beneficiary Association.

---

| | | |
|:---|:---|:---|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7. | SOLE VOTING POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 8. | SHARED VOTING POWER <br>4,034.6 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 9. | SOLE DISPOSITIVE POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 10. | SHARED DISPOSITIVE POWER<br>4,034.6 |

---

11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON <br>
4,034.6

12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES<br>
(see instructions) ◻

13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) <br>
19.3%

14. TYPE OF REPORTING PERSON (see instructions) <br>
EP

CUSIP No. None 13D

1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)<br>
UAW Ford Retirees Medical Benefits Plan

2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br>
(see instructions)<br>
(a) ⌧ <br>
(b) ◻

3. SEC USE ONLY<br>

4. SOURCE OF FUNDS (see instructions)<br>
WC

5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) ◻

6. CITIZENSHIP OR PLACE OF ORGANIZATION<br>
None. Organized as a 501(c)(9) Voluntary Employee Beneficiary Association.

---

| | | |
|:---|:---|:---|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7. | SOLE VOTING POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 8. | SHARED VOTING POWER <br>6,289.8 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 9. | SOLE DISPOSITIVE POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 10. | SHARED DISPOSITIVE POWER<br>6,289.8 |

---

11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON <br>
6,289.8

12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES<br>
(see instructions) ◻

13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) <br>
30.1%

14. TYPE OF REPORTING PERSON (see instructions) <br>
EP

CUSIP No. None 13D

1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)<br>
UAW GM Retirees Medical Benefits Plan

2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br>
(see instructions)<br>
(a) ⌧ <br>
(b) ◻

3. SEC USE ONLY<br>

4. SOURCE OF FUNDS (see instructions)<br>
WC

5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) ◻

6. CITIZENSHIP OR PLACE OF ORGANIZATION<br>
None. Organized as a 501(c)(9) Voluntary Employee Beneficiary Association.

---

| | | |
|:---|:---|:---|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7. | SOLE VOTING POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 8. | SHARED VOTING POWER<br>10,365.7 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 9. | SOLE DISPOSITIVE POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 10. | SHARED DISPOSITIVE POWER<br>10,365.7 |

---

11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON <br>
10,365.7

12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES<br>
(see instructions) ◻

13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) <br>
49.6%

14. TYPE OF REPORTING PERSON (see instructions) <br>
EP

CUSIP No. None 13D

1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)<br>
Hershel Harper

2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br>
(see instructions)<br>
(a) ⌧ <br>
(b) ◻

3. SEC USE ONLY<br>

4. SOURCE OF FUNDS (see instructions)<br>
AF

5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) ◻

6. CITIZENSHIP OR PLACE OF ORGANIZATION<br>
United States

---

| | | |
|:---|:---|:---|
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7. | SOLE VOTING POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 8. | SHARED VOTING POWER <br>20,690 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 9. | SOLE DISPOSITIVE POWER<br>0 |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 10. | SHARED DISPOSITIVE POWER<br>20,690 |

---

11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON <br>
20,690

12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES<br>
(see instructions) ◻

13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) <br>
99.0%

14. TYPE OF REPORTING PERSON (see instructions) <br>
IN

CUSIP No. None 13D

**Item 1. Security and Issuer.**

This Amendment No. 5 ("Amendment No. 5") amends the statement on Schedule 13D filed with the Securities and Exchange Commission on December 16, 2021 as amended by Amendment No. 1 on December 21, 2021, Amendment No. 2 on June 29, 2022, Amendment No. 3 on October 18, 2022, and Amendment No. 4 on December 13, 2022. This Amendment No. 5 relates to shares of common stock (the "Shares") of Kayne DL 2021, Inc., a Delaware business development company (the "Issuer"). The Issuer's principal executive offices are located at 811 Main Street, 14th Floor, Houston, TX 77002.

**Item 4. Purpose of Transaction.**

On June 2, 2021, each Plan entered into a subscription agreement with the Issuer (the "Subscription Agreements") pursuant to which the UAW Chrysler Retirees Medical Benefits Plan agreed to purchase Shares for an aggregate purchase price equal to $68,250,000, the UAW Ford Retirees Medical Benefits Plan agreed to purchase Shares for an aggregate purchase price equal to $106,400,000, and the UAW GM Retirees Medical Benefits Plan agreed to purchase Shares for an aggregate purchase price equal to $175,350,000. Such amounts are payable at such times and in such amounts as required by the Issuer, under the terms and conditions set forth in the Subscription Agreements.

On December 16, 2021, pursuant to drawdown notices delivered in accordance with the Subscription Agreements: (i) UAW Chrysler Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Chrysler Retirees Medical Benefits Plan, 115.830 Shares; (ii) UAW Ford Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Ford Retirees Medical Benefits Plan, 180.576 Shares; and (iii) UAW GM Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW GM Retirees Medical Benefits Plan, 297.594 Shares.

On December 20, 2021, pursuant to drawdown notices delivered in accordance with the Subscription Agreements: (i) UAW Chrysler Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Chrysler Retirees Medical Benefits Plan, 1,544.400 Shares; (ii) UAW Ford Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Ford Retirees Medical Benefits Plan, 2,407.680 Shares; and (iii) UAW GM Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW GM Retirees Medical Benefits Plan, 3,967.920 Shares.

On June 29, 2022, pursuant to drawdown notices delivered in accordance with the Subscription Agreements: (i) UAW Chrysler Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Chrysler Retirees Medical Benefits Plan, 385.251 Shares; (ii) UAW Ford Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Ford Retirees Medical Benefits Plan, 600.596 Shares; and (iii) UAW GM Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW GM Retirees Medical Benefits Plan, 989.798 Shares.

On July 27, 2022, pursuant to a dividend reinvestment plan: (i) UAW Chrysler Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW Chrysler Retirees Medical Benefits Plan, 14.045 Shares; (ii) UAW Ford Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW Ford Retirees Medical Benefits Plan, 21.896 Shares; and (iii) UAW GM Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW GM Retirees Medical Benefits Plan, 36.085 Shares.

On October 14, 2022, pursuant to drawdown notices delivered in accordance with the Subscription Agreements: (i) UAW Chrysler Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Chrysler Retirees Medical Benefits Plan, 952.299 Shares; (ii) UAW Ford Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Ford Retirees Medical Benefits Plan, 1,484.609 Shares; and (iii) UAW GM Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW GM Retirees Medical Benefits Plan, 2,446.675 Shares.

On October 25, 2022, pursuant to a dividend reinvestment plan: (i) UAW Chrysler Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW Chrysler Retirees Medical Benefits Plan, 29.261 Shares; (ii) UAW Ford Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW Ford Retirees Medical Benefits Plan, 45.617 Shares; and (iii) UAW GM Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW GM Retirees Medical Benefits Plan, 75.178 Shares.

On December 9, 2022, pursuant to drawdown notices delivered in accordance with the Subscription Agreements: (i) UAW Chrysler Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Chrysler Retirees Medical Benefits Plan, 927.233 Shares; (ii) UAW Ford Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW Ford Retirees Medical Benefits Plan, 1,445.533 Shares; and (iii) UAW GM Retirees Medical Benefits Plan purchased from the Issuer, and the Issuer issued to UAW GM Retirees Medical Benefits Plan, 2,382.277 Shares.

On January 13, 2023, pursuant to a dividend reinvestment plan: (i) UAW Chrysler Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW Chrysler Retirees Medical Benefits Plan, 66.232 Shares; (ii) UAW Ford Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW Ford Retirees Medical Benefits Plan, 103.254 Shares; and (iii) UAW GM Retirees Medical Benefits Plan reinvested dividend proceeds in the Issuer, and the Issuer issued to UAW GM Retirees Medical Benefits Plan, 170.165 Shares.

The purpose of the transaction was to acquire securities of the Issuer for investment purposes.

The Issuer is a business development company. The Reporting Persons expect to continue to beneficially own, in the aggregate, greater than 99% of the Shares outstanding. The investment strategy and investment policy of the Issuer have been devised by, and will be implemented by, KA Credit Advisors II, LLC. The Reporting Persons do not have any plans or proposals to make any changes to the Issuer's investment policy.

The Reporting Persons may change their intention with respect to any and all matters referred to in this Item 4.

Except as set forth herein, the Reporting Persons have no present plan or proposal that would relate to or result in any of the matters set forth in subparagraphs (a)-(j) of Item 4 of Schedule 13D.

**Item 5. Interest in Securities of the Issuer.**

(a) The aggregate number of Shares to which this Amendment No. 5 relates is 20,690.005. Such aggregate number of Shares represents 99% of the common stock of the Issuer. The percentage reported in this Amendment No. 5 is calculated based upon 20,893.320 Shares stated to be outstanding as of January 13, 2023, as indicated by the Issuer.

(b) The UAW Chrysler Retirees Medical Benefits Plan beneficially owns and has shared voting and dispositive power of 4,034.551 Shares. Such Shares represent 19.3% of the Shares outstanding.

The UAW Ford Retirees Medical Benefits Plan beneficially owns and has shared voting and dispositive power of 6,289.762 Shares. Such Shares represent 30.1% of the Shares outstanding.

The UAW GM Retirees Medical Benefits Plan beneficially owns and has shared voting and dispositive power of 10,365.692 Shares. Such Shares represent 49.6% of the Shares outstanding.

UAW RMBT is the trust under which the Plans are established and, pursuant to Rule 13d-3, may be deemed to beneficially own the 20,690.005 Shares held by the Plans. Such Shares represent 99% of the Shares outstanding. UAW RMBT is an indirect beneficial owner of these Shares.

Hershel Harper is the chief investment officer of UAW RMBT, the trust under which the Plans are established, and, pursuant to Rule 13d-3 may be deemed to beneficially own the 20,690.005 Shares held by the Plans. Such Shares represent 99% of the Shares outstanding. Hershel Harper is an indirect beneficial owner of these Shares.

(c) Except as disclosed in Item 4, no transactions in the Shares were effected during the past sixty days by the Reporting Persons.

(d) Not applicable.

(e) Not applicable.

CUSIP No. None 13D

**SIGNATURE**

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Dated: January 25, 2023

---

| | |
|:---|:---|
| **UAW RETIREE MEDICAL BENEFITS TRUST** | **UAW RETIREE MEDICAL BENEFITS TRUST** |
| By: | /s/ Garon Meikle |
| Name: Garon Meikle | Name: Garon Meikle |
| Title: Chief Financial Officer | Title: Chief Financial Officer |
| **UAW CHRYSLER RETIREES MEDICAL BENEFITS PLAN** | **UAW CHRYSLER RETIREES MEDICAL BENEFITS PLAN** |
| By: | /s/ Garon Meikle |
| Name: Garon Meikle | Name: Garon Meikle |
| Title: Chief Financial Officer | Title: Chief Financial Officer |
| **UAW FORD RETIREES MEDICAL BENEFITS PLAN** | **UAW FORD RETIREES MEDICAL BENEFITS PLAN** |
| By: | /s/ Garon Meikle |
| Name: Garon Meikle | Name: Garon Meikle |
| Title: Chief Financial Officer | Title: Chief Financial Officer |
| **UAW GM RETIREES MEDICAL BENEFITS PLAN** | **UAW GM RETIREES MEDICAL BENEFITS PLAN** |
| By: | /s/ Garon Meikle |
| Name: Garon Meikle | Name: Garon Meikle |
| Title: Chief Financial Officer | Title: Chief Financial Officer |
| **HERSHEL HARPER** | **HERSHEL HARPER** |
| /s/ Hershel Harper | /s/ Hershel Harper |

---