0001678104-16-000001.txt : 20160629 0001678104-16-000001.hdr.sgml : 20160629 20160629153834 ACCESSION NUMBER: 0001678104-16-000001 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: 20160629 DATE AS OF CHANGE: 20160629 EFFECTIVENESS DATE: 20160629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Shasta Ventures V, L.P. CENTRAL INDEX KEY: 0001678104 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-266042 FILM NUMBER: 161738727 BUSINESS ADDRESS: STREET 1: 2440 SAND HILL ROAD, SUITE 300 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 543-1700 MAIL ADDRESS: STREET 1: 2440 SAND HILL ROAD, SUITE 300 CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0707 D LIVE 0001678104 Shasta Ventures V, L.P. 2440 SAND HILL ROAD, SUITE 300 MENLO PARK CA CALIFORNIA 94025 (650) 543-1700 DELAWARE None None Limited Partnership true 2016 N/A Shasta Ventures V GP, LLC 2440 Sand Hill Road, Suite 300 Menlo Park CA CALIFORNIA 94025 Promoter General Partner to the Issuer (the "General Partner") Rob Coneybeer 2440 Sand Hill Road, Suite 300 Menlo Park CA CALIFORNIA 94025 Director A Managing Director of the General Partner Jason Pressman 2440 Sand Hill Road, Suite 300 Menlo Park CA CALIFORNIA 94025 Director A Managing Director of the General Partner Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.7 false true false true false 0 300000000 0 300000000 false 0 0 0 0 The Issuer is obligated to pay a management fee to the General Partner (or its designee). false Shasta Ventures V, L.P. /s/ Rob Coneybeer Rob Coneybeer A Managing Director of the General Partner 2016-06-29