0000892251-22-000019.txt : 20221209 0000892251-22-000019.hdr.sgml : 20221209 20221209133710 ACCESSION NUMBER: 0000892251-22-000019 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: 20221209 DATE AS OF CHANGE: 20221209 EFFECTIVENESS DATE: 20221209 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: 021-467056 FILM NUMBER: 221454323 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 H. Young C/O DEAN DORTON ALLEN FORD, PLLC 250 WEST MAIN STREET, SUITE 1400 LEXINGTON KY KENTUCKY 40507 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 2022-12-02 false true true false 25000 3000000 500000 2500000 false 4 0 0 0 false Bluegrass Angel Venture Fund V, LLC /s/ Christopher H. Young Christopher H. Young Manager 2022-12-09