0001704062-17-000006.txt : 20170518 0001704062-17-000006.hdr.sgml : 20170518 20170517214651 ACCESSION NUMBER: 0001704062-17-000006 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) FILED AS OF DATE: 20170518 DATE AS OF CHANGE: 20170517 EFFECTIVENESS DATE: 20170518 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OT-Heroic SPV V Fund, LLC CENTRAL INDEX KEY: 0001706829 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-286992 FILM NUMBER: 17853382 BUSINESS ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 BUSINESS PHONE: 8014190677 MAIL ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 D 1 primary_doc.xml X0707 D LIVE 0001706829 OT-Heroic SPV V Fund, LLC 762 University Ave Palo Alto CA CALIFORNIA 94301 8014190677 DELAWARE None None Limited Liability Company true 2017 LLC Heroic Ventures SPV I GP 762 University Avenue Palo Alto CA CALIFORNIA 94301 Director Manager of the Issuer Michael Fertik 762 University Avenue Palo Alto CA CALIFORNIA 94301 Executive Officer Managing Director of the Manager of the Issuer Matt Robinson 762 University Avenue Palo Alto CA CALIFORNIA 94301 Executive Officer Managing Director of the Manager of the Issuer LLC Assure Fund Management II, PO Box 171305 Salt Lake City UT UTAH 84117 Director Administrative Manager of the Issuer Erin Rosenthal PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Officer of the Issuer's Administrative Manager Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.1 false 2017-05-12 false true false 0 250000 250000 0 false 4 0 0 0 false OT-Heroic SPV V Fund, LLC Erin Rosenthal Erin Rosenthal Officer of the Issuer's Administrative Manager 2017-05-17