0001603401-14-000001.txt : 20140325 0001603401-14-000001.hdr.sgml : 20140325 20140325141522 ACCESSION NUMBER: 0001603401-14-000001 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: 20140325 DATE AS OF CHANGE: 20140325 EFFECTIVENESS DATE: 20140325 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Foresite Capital V-A, LLC CENTRAL INDEX KEY: 0001603401 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-214197 FILM NUMBER: 14715564 BUSINESS ADDRESS: STREET 1: 101 CALIFORNIA STREET, SUITE 4100 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 415-877-4887 MAIL ADDRESS: STREET 1: 101 CALIFORNIA STREET, SUITE 4100 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 D 1 primary_doc.xml X0707 D LIVE 0001603401 Foresite Capital V-A, LLC 101 CALIFORNIA STREET, SUITE 4100 SAN FRANCISCO CA CALIFORNIA 94111 415-877-4887 DELAWARE None None Limited Liability Company true 2014 James B. Tananbaum 101 CALIFORNIA STREET, SUITE 4100 SAN FRANCISCO CA CALIFORNIA 94111 Executive Officer Managing Member of the Managing Member Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 false true false true false 0 33000000 0 33000000 false 0 0 0 0 false Foresite Capital V-A, LLC /s/ James B. Tananbaum James B. Tananbaum Managing Member of the Managing Member 2014-03-25