0001766259-19-000001.txt : 20190314 0001766259-19-000001.hdr.sgml : 20190314 20190313204232 ACCESSION NUMBER: 0001766259-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190314 DATE AS OF CHANGE: 20190313 EFFECTIVENESS DATE: 20190314 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bourne Seniors Housing V, LLC CENTRAL INDEX KEY: 0001766259 IRS NUMBER: 833156283 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-334809 FILM NUMBER: 19679564 BUSINESS ADDRESS: STREET 1: 228 N. PARK AVENUE, SUITE A CITY: WINTER PARK STATE: FL ZIP: 32789 BUSINESS PHONE: (407) 636-7226 MAIL ADDRESS: STREET 1: 228 N. PARK AVENUE, SUITE A CITY: WINTER PARK STATE: FL ZIP: 32789 D 1 primary_doc.xml X0708 D LIVE 0001766259 Bourne Seniors Housing V, LLC 228 N. PARK AVENUE, SUITE A WINTER PARK FL FLORIDA 32789 (407) 644-6444 DELAWARE None None Limited Liability Company true 2018 Robert A. Bourne 228 N. Park Avenue, Suite A Winter Park FL FLORIDA 32789 Executive Officer R. Kyle Bourne 228 N. Park Avenue, Suite A Winter Park FL FLORIDA 32789 Executive Officer Michael C. Kelley 228 N. Park Avenue, Suite A Winter Park FL FLORIDA 32789 Executive Officer Samuel Spears 228 N. Park Avenue, Suite A Winter Park FL FLORIDA 32789 Executive Officer Bourne Seniors Housing Manager V, LLC Bourne Seniors Housing Manager V, LLC 228 N. Park Avenue, Suite A Winter Park FL FLORIDA 32789 Promoter Bourne Financial Group, LLC Bourne Financial Group, LLC 228 N. Park Avenue, Suite A Winter Park FL FLORIDA 32789 Promoter Other Real Estate Decline to Disclose 06b false true false true false 25000 Cobalt Capital, Inc. 136161 None None 11650 S. State Street Draper UT UTAH 84020 CA CALIFORNIA CO COLORADO FL FLORIDA ID IDAHO MA MASSACHUSETTS NM NEW MEXICO NY NEW YORK NC NORTH CAROLINA TX TEXAS UT UTAH false 75000000 0 75000000 false 0 7500000 true 0 1125000 true The Manager will receive acquisition fees equal to 1.5% of the acquisition and development costs of the Company's real estate assets. The total amount paid will depend on the actual amount of such costs. false Bourne Seniors Housing V, LLC /s/ Robert A. Bourne Robert A. Bourne CEO of the Sole Member of the Issuer's Manager 2019-03-13