0001766259-21-000001.txt : 20210312
0001766259-21-000001.hdr.sgml : 20210312
20210312170047
ACCESSION NUMBER: 0001766259-21-000001
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210312
DATE AS OF CHANGE: 20210312
EFFECTIVENESS DATE: 20210312
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-334809
FILM NUMBER: 21738314
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/A
1
primary_doc.xml
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LIVE
0001766259
Bourne Seniors Housing V, LLC
228 N. PARK AVENUE, SUITE A
WINTER PARK
FL
FLORIDA
32789
(407) 636-7226
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
true
0001766259-20-000001
2019-04-22
true
true
false
25000
Cobalt Capital, Inc.
136161
None
None
11650 S. State Street
Draper
UT
UTAH
84020
All States
false
Alan R. Druckenmiller
5191639
Advisory Group Equity Services Ltd.
15427
1215 Story Hill Road
Wilbraham
MA
MASSACHUSETTS
01095
CO
COLORADO
CT
CONNECTICUT
ME
MAINE
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Rodney Bahy Ibrahim
4358176
Aegis Capital Corp.
15007
40 Wall Street, 46th Floor
New York
NY
NEW YORK
10005
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CA
CALIFORNIA
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PR
PUERTO RICO
SC
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TEXAS
VA
VIRGINIA
false
Jason Corey Griggs
4795395
Arkadios Capital
282710
10739 Deerwood Park Blvd, #105
Jacksonville
FL
FLORIDA
32256
CO
COLORADO
FL
FLORIDA
MI
MICHIGAN
false
James O'Neal Mitchell Jr.
336937
Berthel, Fisher & Company Financial Services, Inc.
13609
1902 Flint Road SE, Suite A
Decatur
AL
ALABAMA
35601
AL
ALABAMA
false
Jamie Mittiga Powell
1596875
Berthel, Fisher & Company Financial Services, Inc.
13609
8240 Beckett Park Drive, Suite B
West Chester
OH
OHIO
45069
AZ
ARIZONA
CO
COLORADO
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FLORIDA
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GEORGIA
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ILLINOIS
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NEW YORK
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OHIO
OR
OREGON
UT
UTAH
VA
VIRGINIA
WI
WISCONSIN
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Brian Aurey Uphoff
1569323
Calton & Associates, Inc.
20999
7219 US Hwy 41 North
Palmetto
FL
FLORIDA
34221
AZ
ARIZONA
CO
COLORADO
FL
FLORIDA
MI
MICHIGAN
NJ
NEW JERSEY
VA
VIRGINIA
WA
WASHINGTON
WI
WISCONSIN
false
Byron Keith Crosby
2158157
Calton & Associates, Inc.
20999
8780 Seminole Blvd, Suite 100
Seminole
FL
FLORIDA
33772
FL
FLORIDA
false
John Treadway Brogdon, Jr.
1450806
Calton & Associates, Inc.
20999
13111 Westheimer Road, Suite 475
Houston
TX
TEXAS
77077
AL
ALABAMA
CA
CALIFORNIA
IA
IOWA
LA
LOUISIANA
NC
NORTH CAROLINA
TX
TEXAS
VA
VIRGINIA
false
Marc Alan Seeherman
1131557
Calton & Associates, Inc.
20999
32 West 40th Street, 7th Floor
New York
NY
NEW YORK
10018
AZ
ARIZONA
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
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GEORGIA
HI
HAWAII
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OHIO
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OR
OREGON
PA
PENNSYLVANIA
TX
TEXAS
VA
VIRGINIA
WA
WASHINGTON
WI
WISCONSIN
false
Center Street Securities, Inc.
26898
None
None
2 International Plaza, Suite 301
Nashville
TN
TENNESSEE
37217
All States
false
Tyler Don Sullivan
5401187
Client One Securities LLC
152974
104 W 9th Avenue
Bristow
OK
OKLAHOMA
74010
AZ
ARIZONA
CA
CALIFORNIA
CO
COLORADO
GA
GEORGIA
IL
ILLINOIS
KS
KANSAS
MO
MISSOURI
NV
NEVADA
OK
OKLAHOMA
TX
TEXAS
false
James Franklin Shenk
2876098
Coastal Equities, Inc.
23769
3032 Seven Valleys Road
Glen Rock
PA
PENNSYLVANIA
17327
CO
COLORADO
CT
CONNECTICUT
FL
FLORIDA
ME
MAINE
MD
MARYLAND
MI
MICHIGAN
NJ
NEW JERSEY
NC
NORTH CAROLINA
OH
OHIO
OR
OREGON
PA
PENNSYLVANIA
VA
VIRGINIA
WI
WISCONSIN
false
Benjamin Melvin Schick
4897243
Cobalt Capital, Inc.
136161
600 Wilkinson Street, Suite 300
Orlando
FL
FLORIDA
32803
AL
ALABAMA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
FL
FLORIDA
GA
GEORGIA
IL
ILLINOIS
IN
INDIANA
MA
MASSACHUSETTS
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
PR
PUERTO RICO
SD
SOUTH DAKOTA
TX
TEXAS
UT
UTAH
false
Concorde Investment Services, LLC
151604
None
None
19500 Victor Parkway, Suite 550
Livonia
MI
MICHIGAN
48152
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
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FLORIDA
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NEW HAMPSHIRE
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OHIO
OK
OKLAHOMA
OR
OREGON
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PENNSYLVANIA
RI
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SOUTH CAROLINA
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SOUTH DAKOTA
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TENNESSEE
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TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
Dempsey Lord Smith, LLC
141238
None
None
901 N Broad Street, Suite 400
Rome
GA
GEORGIA
30161
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
IA
IOWA
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KANSAS
KY
KENTUCKY
LA
LOUISIANA
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MAINE
MD
MARYLAND
MA
MASSACHUSETTS
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MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
MO
MISSOURI
MT
MONTANA
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NEBRASKA
NV
NEVADA
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NEW HAMPSHIRE
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NEW JERSEY
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NEW YORK
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OHIO
OK
OKLAHOMA
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OREGON
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PENNSYLVANIA
RI
RHODE ISLAND
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SOUTH DAKOTA
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TENNESSEE
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TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
DFPG Investments, LLC
155576
None
None
9017 S Riverside Drive, Suite 210
Sandy
UT
UTAH
84070
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
IA
IOWA
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KANSAS
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KENTUCKY
LA
LOUISIANA
ME
MAINE
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MARYLAND
MA
MASSACHUSETTS
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MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
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NEW JERSEY
NM
NEW MEXICO
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NEW YORK
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ND
NORTH DAKOTA
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OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
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RHODE ISLAND
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SOUTH CAROLINA
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SOUTH DAKOTA
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TENNESSEE
TX
TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
Dan Holzer
5779187
Emerson Equity LLC
130032
155 Bovet Road, Suite 725
San Mateo
CA
CALIFORNIA
94402
CA
CALIFORNIA
CO
COLORADO
FL
FLORIDA
IL
ILLINOIS
MD
MARYLAND
MI
MICHIGAN
NV
NEVADA
NM
NEW MEXICO
NY
NEW YORK
OH
OHIO
OK
OKLAHOMA
PA
PENNSYLVANIA
TX
TEXAS
UT
UTAH
VA
VIRGINIA
WA
WASHINGTON
false
Navinbhai Hirabhai Patel
6994505
Emerson Equity LLC
130032
155 Bovet Road, Suite 725
San Mateo
CA
CALIFORNIA
94402
AL
ALABAMA
CA
CALIFORNIA
FL
FLORIDA
GA
GEORGIA
KY
KENTUCKY
MO
MISSOURI
NJ
NEW JERSEY
NC
NORTH CAROLINA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
TX
TEXAS
VA
VIRGINIA
false
Sudhir G. Pai
5928622
Emerson Equity LLC
130032
4512 Legacy Drive, Suite 100
Plano
TX
TEXAS
75024
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
FL
FLORIDA
GA
GEORGIA
IL
ILLINOIS
IN
INDIANA
IA
IOWA
KS
KANSAS
KY
KENTUCKY
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MO
MISSOURI
NE
NEBRASKA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
VA
VIRGINIA
WA
WASHINGTON
WI
WISCONSIN
false
Dakota A. Lawrence
5255723
Great Point Capital LLC
114203
100 Rialto Place, Suite 700
Melbourne
CA
CALIFORNIA
32901
FL
FLORIDA
false
Brad Whalen
2582276
Green Vista Capital, LLC
293630
222 N. Park Avenue
Winter Park
FL
FLORIDA
32789
AL
ALABAMA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
FL
FLORIDA
IL
ILLINOIS
IN
INDIANA
KS
KANSAS
MD
MARYLAND
MA
MASSACHUSETTS
MO
MISSOURI
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
OK
OKLAHOMA
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
TX
TEXAS
VA
VIRGINIA
WI
WISCONSIN
false
Samuel Scott Bianchi
3036667
IBN Financial Services, Inc.
42360
404 Old Liverpool Road
Liverpool
NY
NEW YORK
13088
IL
ILLINOIS
MA
MASSACHUSETTS
NY
NEW YORK
OH
OHIO
PA
PENNSYLVANIA
false
Timothy Daniel Nihill
4220287
IBN Financial Services, Inc.
42360
23 Middle Street, Suite 301
Newburyport
MA
MASSACHUSETTS
01950
FL
FLORIDA
ME
MAINE
MA
MASSACHUSETTS
NH
NEW HAMPSHIRE
NY
NEW YORK
RI
RHODE ISLAND
TX
TEXAS
VT
VERMONT
false
Todd Robert Rhine
2384366
IBN Financial Services, Inc.
42360
7 Finch Street
Hilton Head Island
SC
SOUTH CAROLINA
29926
AZ
ARIZONA
CA
CALIFORNIA
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
KS
KANSAS
LA
LOUISIANA
MD
MARYLAND
MA
MASSACHUSETTS
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
OR
OREGON
SC
SOUTH CAROLINA
TX
TEXAS
VA
VIRGINIA
false
Barry Eugene Weed
816202
Intercarolina Financial Services, Inc.
19475
1400 Battleground Avenue, Suite 210
Greensboro
NC
NORTH CAROLINA
27408
NC
NORTH CAROLINA
false
Williams Keen Butcher
2098675
International Assets Advisory, LLC
10645
5701 Woodway Drive, Suite 330
Houston
TX
TEXAS
77057
CA
CALIFORNIA
CO
COLORADO
MA
MASSACHUSETTS
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
SC
SOUTH CAROLINA
TX
TEXAS
WA
WASHINGTON
false
Alexander Raymond Creede
6392369
International Assets Advisory, LLC
10645
5701 Woodway Drive, Suite 330
Houston
TX
TEXAS
77057
FL
FLORIDA
GA
GEORGIA
IL
ILLINOIS
LA
LOUISIANA
MD
MARYLAND
SC
SOUTH CAROLINA
TX
TEXAS
VA
VIRGINIA
false
Kalos Capital, Inc.
44337
None
None
11525 Park Woods Circle, Suite 280
Alpharetta
GA
GEORGIA
30005
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
IA
IOWA
KS
KANSAS
KY
KENTUCKY
LA
LOUISIANA
ME
MAINE
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
RI
RHODE ISLAND
SC
SOUTH CAROLINA
SD
SOUTH DAKOTA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
Guy Anthony Harrigan
1817525
Lion Street Financial, LLC
165828
4770 Baseline Road, Suite 380
Boulder
CO
COLORADO
80303
AZ
ARIZONA
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
FL
FLORIDA
HI
HAWAII
IN
INDIANA
MN
MINNESOTA
MS
MISSISSIPPI
NY
NEW YORK
NC
NORTH CAROLINA
RI
RHODE ISLAND
SD
SOUTH DAKOTA
TX
TEXAS
VA
VIRGINIA
WY
WYOMING
false
James Bradley Teegarden
2812366
Lion Street Financial, LLC
165828
4770 Baseline Road, Suite 380
Boulder
CO
COLORADO
80303
CO
COLORADO
false
Christopher Brian Pelley
1008077
Moloney Securities Co., Inc.
38535
6312 S. Fiddlers Green Circle, Suite 310
Greenwood Village
CO
COLORADO
80111
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
FL
FLORIDA
GA
GEORGIA
IA
IOWA
KS
KANSAS
MI
MICHIGAN
MN
MINNESOTA
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NM
NEW MEXICO
NC
NORTH CAROLINA
OK
OKLAHOMA
TX
TEXAS
UT
UTAH
VA
VIRGINIA
WI
WISCONSIN
false
David Norval Wood
2306563
Moloney Securities Co., Inc.
38535
13537 Barrett Parkway Drive, #300
Manchester
MO
MISSOURI
63021
FL
FLORIDA
IL
ILLINOIS
MO
MISSOURI
OH
OHIO
SC
SOUTH CAROLINA
TX
TEXAS
WA
WASHINGTON
false
John Hubert Chaney
44529
Moloney Securities Co., Inc.
38535
13537 Barrett Parkway Drive, #300
Manchester
MO
MISSOURI
63021
AZ
ARIZONA
MO
MISSOURI
NE
NEBRASKA
TX
TEXAS
false
Robert Morgan Vance
1887560
Moloney Securities Co., Inc.
38535
14570 Mono Way, Suite A
Sonora
CA
CALIFORNIA
95370
AK
ALASKA
AZ
ARIZONA
CA
CALIFORNIA
CO
COLORADO
ID
IDAHO
NV
NEVADA
OR
OREGON
SC
SOUTH CAROLINA
false
Newbridge Securities Corporation
104065
None
None
1200 North Federal Highway, Suite 400
Boca Raton
FL
FLORIDA
33432
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
IA
IOWA
KS
KANSAS
KY
KENTUCKY
LA
LOUISIANA
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
PR
PUERTO RICO
RI
RHODE ISLAND
SC
SOUTH CAROLINA
SD
SOUTH DAKOTA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
SCF Securities, Inc.
47275
None
None
155 E. Shaw Avenue, Suite 102
Fresno
CA
CALIFORNIA
93710
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
IA
IOWA
KS
KANSAS
KY
KENTUCKY
LA
LOUISIANA
ME
MAINE
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
RI
RHODE ISLAND
SC
SOUTH CAROLINA
SD
SOUTH DAKOTA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
Sunbelt Securities, Inc.
42180
None
None
2700 Post Oak Boulevard, Suite 1700
Houston
TX
TEXAS
77056
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
IL
ILLINOIS
IN
INDIANA
IA
IOWA
KS
KANSAS
KY
KENTUCKY
LA
LOUISIANA
ME
MAINE
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
RI
RHODE ISLAND
SC
SOUTH CAROLINA
SD
SOUTH DAKOTA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
The Strategic Financial Alliance, Inc.
126514
None
None
2200 Century Parkway, Suite 500
Atlanta
GA
GEORGIA
30345
All States
false
Titan Securities
131392
None
None
16775 Addison Road, Suite 525
Addison
TX
TEXAS
75001
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
KS
KANSAS
LA
LOUISIANA
MD
MARYLAND
MI
MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
MO
MISSOURI
NE
NEBRASKA
NV
NEVADA
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
SD
SOUTH DAKOTA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
Christopher Michael Dukes
4712873
Westpark Capital, Inc.
39914
650 S. Westlake Boulevard, Suite 205
Thousand Oaks
CA
CALIFORNIA
91362
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
FL
FLORIDA
HI
HAWAII
ID
IDAHO
KS
KANSAS
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NY
NEW YORK
OR
OREGON
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
TX
TEXAS
VA
VIRGINIA
false
Patrick Morehead
6661646
Westpark Capital, Inc.
39914
8107 Loyola Boulevard
Los Angeles
CA
CALIFORNIA
90045
CA
CALIFORNIA
MN
MINNESOTA
false
Sheldon Singleton
2060931
Westpark Capital, Inc.
39914
8107 Loyola Boulevard
Los Angeles
CA
CALIFORNIA
90045
CA
CALIFORNIA
false
John Arthur Doane
4083486
Advisory Group Equity Services Ltd.
15427
33 Hilltop Drive
Wenham
MA
MASSACHUSETTS
01984
CT
CONNECTICUT
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
IL
ILLINOIS
ME
MAINE
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
RI
RHODE ISLAND
TX
TEXAS
VA
VIRGINIA
false
Peggy Lynn Romero
6227087
Advisory Group Equity Services Ltd.
15427
71 Hibbert Street
Arlington
MA
MASSACHUSETTS
02476
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
ME
MAINE
MD
MARYLAND
MA
MASSACHUSETTS
NH
NEW HAMPSHIRE
NY
NEW YORK
OH
OHIO
SC
SOUTH CAROLINA
TN
TENNESSEE
VT
VERMONT
VA
VIRGINIA
false
Stephen Charles Olsson
857922
Advisory Group Equity Services Ltd.
15427
902 Montgomery St
Manchester
NH
NEW HAMPSHIRE
03102
MA
MASSACHUSETTS
NH
NEW HAMPSHIRE
false
Arturo J Rodriguez Diaz
1301783
Aegis Capital Corp.
15007
2000 Ponce De Leon, Suite 516-B
Coral Gables
FL
FLORIDA
33134
DE
DELAWARE
FL
FLORIDA
PR
PUERTO RICO
false
Martin Hunter McFarlin
2838151
Arkadios Capital
282710
1119 Virginia Avenue
Murfreesboro
TN
TENNESSEE
37310
AL
ALABAMA
AZ
ARIZONA
GA
GEORGIA
MI
MICHIGAN
NC
NORTH CAROLINA
TN
TENNESSEE
TX
TEXAS
WI
WISCONSIN
false
William Louis Herford
2066018
Arkadios Capital
282710
10316 Feldfarm Lane, Suite 300
Charlotte
NC
NORTH CAROLINA
28210
AL
ALABAMA
CA
CALIFORNIA
FL
FLORIDA
NV
NEVADA
NC
NORTH CAROLINA
SC
SOUTH CAROLINA
false
Jason Christopher Cook
4349388
Berthel, Fisher & Company Financial Services, Inc.
13609
208 S. Marshall Street
Graham
NC
NORTH CAROLINA
27253
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
NC
NORTH CAROLINA
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
VA
VIRGINIA
false
Robert Boris Hardcastle
1101791
Berthel, Fisher & Company Financial Services, Inc.
13609
16100 Chesterfield Parkway West, Ste 150
Chesterfield
MO
MISSOURI
63017
AL
ALABAMA
AZ
ARIZONA
CA
CALIFORNIA
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
IL
ILLINOIS
IA
IOWA
KY
KENTUCKY
MI
MICHIGAN
MN
MINNESOTA
MO
MISSOURI
NV
NEVADA
NJ
NEW JERSEY
NM
NEW MEXICO
NC
NORTH CAROLINA
OH
OHIO
OR
OREGON
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
false
TJ Iwan Setro
1428815
Berthel, Fisher & Company Financial Services, Inc.
13609
2992 Reidiville Road
Spartanburg
SC
SOUTH CAROLINA
29301
AZ
ARIZONA
FL
FLORIDA
GA
GEORGIA
LA
LOUISIANA
NC
NORTH CAROLINA
OH
OHIO
SC
SOUTH CAROLINA
VA
VIRGINIA
false
Douglas Stephen Drelich
2459757
Client One Securities LLC
152974
7077 Bonneval Road, #440
Jacksonville
FL
FLORIDA
32216
AL
ALABAMA
AR
ARKANSAS
FL
FLORIDA
GA
GEORGIA
IL
ILLINOIS
IA
IOWA
KS
KANSAS
MD
MARYLAND
MI
MICHIGAN
MO
MISSOURI
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
OK
OKLAHOMA
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
TN
TENNESSEE
VA
VIRGINIA
WA
WASHINGTON
false
Donald Neal Sullivan
1979017
Client One Securities LLC
152974
7077 Bonneval Road, #440
Jacksonville
FL
FLORIDA
32216
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
FL
FLORIDA
GA
GEORGIA
IL
ILLINOIS
IN
INDIANA
IA
IOWA
LA
LOUISIANA
MD
MARYLAND
MI
MICHIGAN
MO
MISSOURI
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
OK
OKLAHOMA
PA
PENNSYLVANIA
VA
VIRGINIA
WA
WASHINGTON
false
Jay Reid Porter
1123708
Coastal Equities, Inc.
23769
10400 NE. 4th Street, Suite 500
Bellevue
WA
WASHINGTON
98004
AK
ALASKA
AZ
ARIZONA
CA
CALIFORNIA
IN
INDIANA
MA
MASSACHUSETTS
WA
WASHINGTON
false
Nathaniel Michael Kuhn
4624143
DAI Securities, LLC
36673
120 W Eastman Street, #300
Arlington Heights
IL
ILLINOIS
60004
CA
CALIFORNIA
CO
COLORADO
FL
FLORIDA
IL
ILLINOIS
IN
INDIANA
MN
MINNESOTA
NJ
NEW JERSEY
OH
OHIO
WI
WISCONSIN
false
Roy Vincent Pfleger
5896655
DAI Securities, LLC
36673
17 Stony Wood Road
E Setauket
NY
NEW YORK
11733
CA
CALIFORNIA
CO
COLORADO
FL
FLORIDA
GA
GEORGIA
MD
MARYLAND
MA
MASSACHUSETTS
NJ
NEW JERSEY
NY
NEW YORK
NC
NORTH CAROLINA
OR
OREGON
RI
RHODE ISLAND
TX
TEXAS
UT
UTAH
VT
VERMONT
false
Joseph Gerard Michaletz
1327534
DAI Securities, LLC
36673
150 St. Andrews Court, Suite 210
Mankato
MN
MINNESOTA
56001
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
FL
FLORIDA
GA
GEORGIA
ID
IDAHO
IL
ILLINOIS
IA
IOWA
KS
KANSAS
MI
MICHIGAN
MN
MINNESOTA
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
SD
SOUTH DAKOTA
TX
TEXAS
UT
UTAH
WA
WASHINGTON
WI
WISCONSIN
false
Michael Edward O'Toole
6336251
DAI Securities, LLC
36673
150 St. Andrews Court, Suite 210
Mankato
MN
MINNESOTA
56001
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
FL
FLORIDA
GA
GEORGIA
ID
IDAHO
IL
ILLINOIS
IA
IOWA
KS
KANSAS
MI
MICHIGAN
MN
MINNESOTA
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
SD
SOUTH DAKOTA
TX
TEXAS
UT
UTAH
WA
WASHINGTON
WI
WISCONSIN
false
William Christopher Duffy
6726333
Emerson Equity LLC
130032
155 Bovet Road, Suite 725
San Mateo
CA
CALIFORNIA
94402
AL
ALABAMA
CA
CALIFORNIA
CO
COLORADO
DC
DISTRICT OF COLUMBIA
IL
ILLINOIS
MA
MASSACHUSETTS
MT
MONTANA
NE
NEBRASKA
NH
NEW HAMPSHIRE
PR
PUERTO RICO
TX
TEXAS
WA
WASHINGTON
WI
WISCONSIN
false
Philippus Theunis Van Staden
4489166
Green Vista Capital, LLC
293630
222 N. Park Avenue
Winter Park
FL
FLORIDA
32789
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
IA
IOWA
KS
KANSAS
KY
KENTUCKY
LA
LOUISIANA
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MO
MISSOURI
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
SD
SOUTH DAKOTA
TN
TENNESSEE
TX
TEXAS
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WI
WISCONSIN
false
Randall George Skrabonja
1858245
Green Vista Capital, LLC
293630
222 N. Park Avenue
Winter Park
FL
FLORIDA
32789
FL
FLORIDA
NV
NEVADA
false
Hantz Financial Services, Inc.
46047
None
None
26200 American Drive, 5th Floor
Southfield
MI
MICHIGAN
48034
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
IA
IOWA
KS
KANSAS
KY
KENTUCKY
LA
LOUISIANA
ME
MAINE
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
MO
MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NY
NEW YORK
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
RI
RHODE ISLAND
SC
SOUTH CAROLINA
SD
SOUTH DAKOTA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
Carnell Moore
2715870
International Assets Advisory, LLC
10645
201 E. Kennedy Blvd, Suite 950
Tampa
FL
FLORIDA
33602
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
MD
MARYLAND
MI
MICHIGAN
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
TX
TEXAS
false
David Peter Reiss
6591492
International Assets Advisory, LLC
10645
167 Valleyview Road
Fairfield
CT
CONNECTICUT
06824
CT
CONNECTICUT
FL
FLORIDA
ME
MAINE
MA
MASSACHUSETTS
NY
NEW YORK
RI
RHODE ISLAND
VT
VERMONT
VA
VIRGINIA
false
Reina Loree Schlager
2370434
J.W. Cole Financial, Inc.
124583
12525 New Brittany Blvd. Bldg. #30
Ft. Myers
FL
FLORIDA
33907
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
IL
ILLINOIS
IN
INDIANA
IA
IOWA
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MS
MISSISSIPPI
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NY
NEW YORK
NC
NORTH CAROLINA
OH
OHIO
PA
PENNSYLVANIA
SC
SOUTH CAROLINA
TN
TENNESSEE
TX
TEXAS
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
false
Cindy Larue Crossett
5868822
J.W. Cole Financial, Inc.
124583
203 S Candy Lane, Suite 10B
Cottonwood
AZ
ARIZONA
86326
AZ
ARIZONA
CA
CALIFORNIA
CO
COLORADO
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
ND
NORTH DAKOTA
OR
OREGON
TX
TEXAS
VA
VIRGINIA
false
Ken Levin
2823854
J.W. Cole Financial, Inc.
124583
12525 New Brittany Blvd. Bldg. #30
Ft. Myers
FL
FLORIDA
33907
AZ
ARIZONA
CT
CONNECTICUT
FL
FLORIDA
IN
INDIANA
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
MO
MISSOURI
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NY
NEW YORK
OH
OHIO
PA
PENNSYLVANIA
WI
WISCONSIN
false
Michael Robert Rubenstein
5445954
J.W. Cole Financial, Inc.
124583
12525 New Brittany Blvd. Bldg. #30
Ft. Myers
FL
FLORIDA
33907
FL
FLORIDA
NY
NEW YORK
false
Stephen Wayne Wingard
2746603
Lion Street Financial, LLC
165828
13155 Noel Road, Suite 900
Dallas
TX
TEXAS
75240
CO
COLORADO
TX
TEXAS
UT
UTAH
false
John Patrick Shortal
2233172
Moloney Securities Co., Inc.
38535
607 S. State Street
Jerseyville
IL
ILLINOIS
62052
IL
ILLINOIS
MO
MISSOURI
NV
NEVADA
false
75000000
47961994
27038006
false
376
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
2021-03-12