0000892251-21-000007.txt : 20210218 0000892251-21-000007.hdr.sgml : 20210218 20210218114534 ACCESSION NUMBER: 0000892251-21-000007 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: 20210218 DATE AS OF CHANGE: 20210218 EFFECTIVENESS DATE: 20210218 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bluegrass Angel Venture Fund V, LLC CENTRAL INDEX KEY: 0001844898 IRS NUMBER: 854258941 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-389806 FILM NUMBER: 21648454 BUSINESS ADDRESS: STREET 1: C/O DEAN DORTON ALLEN FORD PLLC STREET 2: 250 WEST MAIN STREET, SUITE 1400 CITY: LEXINGTON STATE: KY ZIP: 40507 BUSINESS PHONE: (859) 255-2341 MAIL ADDRESS: STREET 1: C/O DEAN DORTON ALLEN FORD PLLC STREET 2: 250 WEST MAIN STREET, SUITE 1400 CITY: LEXINGTON STATE: KY ZIP: 40507 D 1 primary_doc.xml X0708 D LIVE 0001844898 Bluegrass Angel Venture Fund V, LLC C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 (859) 255-2341 KENTUCKY None None Limited Liability Company true 2020 Christopher Young C/O DEAN DORTON ALLEN FORD, PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Executive Officer Director David Goodnight C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Brian Luftman C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Ben Streepey C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Ben Self C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Rod Wolford C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Jon Chait C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Jo Ellen Hayden C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Alan Hawse C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Daniel Diachun C/O DEAN DORTON ALLEN FORD PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 Director Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.1 false 2020-12-22 false true true false 25000 6000000 750000 5250000 false 11 0 0 0 false Bluegrass Angel Venture Fund V, LLC /s/ Christopher S. Young Christopher S. Young Manager 2021-02-18