0001882214-21-000001.txt : 20210910 0001882214-21-000001.hdr.sgml : 20210910 20210910100105 ACCESSION NUMBER: 0001882214-21-000001 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) FILED AS OF DATE: 20210910 DATE AS OF CHANGE: 20210910 EFFECTIVENESS DATE: 20210910 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CCP V-SBIC, L.P. CENTRAL INDEX KEY: 0001882214 IRS NUMBER: 861466976 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-412892 FILM NUMBER: 211246088 BUSINESS ADDRESS: STREET 1: 10 W. MARKET STREET STREET 2: SUITE 3000 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: (317) 237-2323 MAIL ADDRESS: STREET 1: 10 W. MARKET STREET STREET 2: SUITE 3000 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 D 1 primary_doc.xml X0708 D LIVE 0001882214 CCP V-SBIC, L.P. 10 W. MARKET STREET SUITE 3000 INDIANAPOLIS IN INDIANA 46204 (317) 237-2323 DELAWARE None None Limited Partnership true 2021 N/A CCP V-SBIC, LLC 10 W. Market Street Suite 3000 Indianapolis IN INDIANA 46204 Executive Officer General Partner N/A Centerfield Management V, Inc. 10 W. Market Street Suite 3000 Indianapolis IN INDIANA 46204 Executive Officer Management Company Ahmad Faraz Abbasi 10 W. Market Street Suite 3000 Indianapolis IN INDIANA 46204 Executive Officer Managing Member of the General Partner Mark A. Hollis 10 W. Market Street Suite 3000 Indianapolis IN INDIANA 46204 Executive Officer Managing Member of the General Partner Jill R. Margetts 10 W. Market Street Suite 3000 Indianapolis IN INDIANA 46204 Executive Officer Managing Member of the General Partner Michael A. Miller 10 W. Market Street Suite 3000 Indianapolis IN INDIANA 46204 Executive Officer Managing Member of the General Partner Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.1 false 2021-08-27 true true false 0 Indefinite 57435000 Indefinite false 25 0 true 0 true 0 true The management company will receive management fees in an amount based off of the amount of securities sold. false CCP V-SBIC, L.P. /s/ Ahmad Faraz Abbasi Ahmad Faraz Abbasi Managing Member of the General Partner 2021-09-10