0001013594-18-000641.txt : 20181031 0001013594-18-000641.hdr.sgml : 20181031 20181031141159 ACCESSION NUMBER: 0001013594-18-000641 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)(5) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20181031 DATE AS OF CHANGE: 20181031 EFFECTIVENESS DATE: 20181031 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bloomfield Capital Income Fund V, LLC CENTRAL INDEX KEY: 0001757203 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-324780 FILM NUMBER: 181149757 BUSINESS ADDRESS: STREET 1: 280 N. OLD WOODWARD AVENUE STREET 2: SUITE 104 CITY: BIRMINGHAM STATE: MI ZIP: 48009 BUSINESS PHONE: 2487451700 MAIL ADDRESS: STREET 1: 280 N. OLD WOODWARD AVENUE STREET 2: SUITE 104 CITY: BIRMINGHAM STATE: MI ZIP: 48009 D 1 primary_doc.xml X0708 D LIVE 0001757203 Bloomfield Capital Income Fund V, LLC 280 N. OLD WOODWARD AVENUE SUITE 104 BIRMINGHAM MI MICHIGAN 48009 2487451700 DELAWARE None None Limited Liability Company true 2018 Nicholas S Coburn 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Promoter Mr. Coburn is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer. Jason F Jarjosa 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Promoter Mr. Jarjosa is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer. Renee Lewis 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Promoter Ms. Lewis is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer. Brent K Truscott 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Promoter Mr. Truscott is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer. Pooled Investment Fund Private Equity Fund false Not Applicable 06b 3C 3C.1 3C.5 3C.7 false true true true true false 1000000 Indefinite 0 Indefinite false 0 0 0 0 true The Managing Member receives a management fee, payable quarterly, equal to a specified percentage of capital contributions to the Issuer or the Issuer's net asset value as applicable for each investor. false Bloomfield Capital Income Fund V, LLC /s/ Jason F. Jarjosa Jason F. Jarjosa Principal of the Managing Member 2018-10-31