0001013594-21-000042.txt : 20210122 0001013594-21-000042.hdr.sgml : 20210122 20210122162513 ACCESSION NUMBER: 0001013594-21-000042 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)(5) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20210122 DATE AS OF CHANGE: 20210122 EFFECTIVENESS DATE: 20210122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bloomfield Capital Income Fund V, LLC - Series B CENTRAL INDEX KEY: 0001840788 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-387121 FILM NUMBER: 21546080 BUSINESS ADDRESS: STREET 1: 280 N. OLD WOODWARD AVENUE STREET 2: SUITE 104 CITY: BIRMINGHAM STATE: MI ZIP: 48009 BUSINESS PHONE: 2487451700 MAIL ADDRESS: STREET 1: 280 N. OLD WOODWARD AVENUE STREET 2: SUITE 104 CITY: BIRMINGHAM STATE: MI ZIP: 48009 D 1 primary_doc.xml X0708 D LIVE 0001840788 Bloomfield Capital Income Fund V, LLC - Series B 280 N. OLD WOODWARD AVENUE SUITE 104 BIRMINGHAM MI MICHIGAN 48009 2487451700 DELAWARE None None Limited Liability Company true 2020 Nicholas S Coburn 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Promoter Mr. Coburn is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer (the "Managing Member"). Jason F Jarjosa 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Promoter Mr. Jarjosa is a principal of the Managing Member. Renee Lewis 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Promoter Ms. Lewis is a principal of the Managing Member. Brent K Truscott 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Promoter Mr. Truscott is a principal of the Managing Member. Pooled Investment Fund Private Equity Fund false Not Applicable 06b 3C 3C.1 3C.5 3C.7 false true true true true false 1000000 Indefinite 0 Indefinite false 0 0 0 0 true The Managing Member receives a management fee, payable quarterly, equal to a specified percentage of capital contributions to the Issuer or the Issuer's net asset value as applicable for each investor. false Bloomfield Capital Income Fund V, LLC - Series B /s/ Jason F. Jarjosa Jason F. Jarjosa Principal of the Managing Member 2021-01-22