0001791966-19-000001.txt : 20191029 0001791966-19-000001.hdr.sgml : 20191029 20191029155005 ACCESSION NUMBER: 0001791966-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20191029 DATE AS OF CHANGE: 20191029 EFFECTIVENESS DATE: 20191029 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DW HEALTHCARE AFFILIATES V, L.P. CENTRAL INDEX KEY: 0001791966 IRS NUMBER: 981479785 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-352101 FILM NUMBER: 191176252 BUSINESS ADDRESS: STREET 1: 1413 CENTER DRIVE, SUITE 220 CITY: PARK CITY STATE: UT ZIP: 84098 BUSINESS PHONE: (435) 645-4050 MAIL ADDRESS: STREET 1: 1413 CENTER DRIVE, SUITE 220 CITY: PARK CITY STATE: UT ZIP: 84098 D 1 primary_doc.xml X0708 D LIVE 0001791966 DW HEALTHCARE AFFILIATES V, L.P. 1413 CENTER DRIVE, SUITE 220 PARK CITY UT UTAH 84098 (435) 645-4050 CAYMAN ISLANDS None None Limited Partnership true 2019 LANCE C. RUUD 1413 CENTER DRIVE, SUITE 220 PARK CITY UT UTAH 84098 Executive Officer Promoter JOHN B. BENEAR, M.D. 1413 CENTER DRIVE, SUITE 220 PARK CITY UT UTAH 84098 Executive Officer Promoter DOUGLAS K. SCHILLINGER 1413 CENTER DRIVE, SUITE 220 PARK CITY UT UTAH 84098 Executive Officer Promoter ANDREW C. CARRAGHER 1413 CENTER DRIVE, SUITE 220 PARK CITY UT UTAH 84098 Executive Officer Promoter ALY CHAMPSI 1413 CENTER DRIVE, SUITE 220 PARK CITY UT UTAH 84098 Executive Officer Promoter Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.1 3C.7 false true false true true false 0 Indefinite 0 Indefinite false 0 0 true 0 true 0 true false DW HEALTHCARE AFFILIATES V, L.P. /S/ LANCE RUUD LANCE RUUD MANAGING MEMBER OF THE GP OF THE GP OF THE ISSUER 2019-10-22