0001907169-22-000001.txt : 20220224 0001907169-22-000001.hdr.sgml : 20220224 20220224145346 ACCESSION NUMBER: 0001907169-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20220224 DATE AS OF CHANGE: 20220224 EFFECTIVENESS DATE: 20220224 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FBV Bridge V SS1, a Series of FBV Bridge V, LLC CENTRAL INDEX KEY: 0001907169 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-434881 FILM NUMBER: 22669964 BUSINESS ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 BUSINESS PHONE: (801) 419-0677 MAIL ADDRESS: STREET 1: PO BOX 171305 CITY: SALT LAKE CITY STATE: UT ZIP: 84117 D 1 primary_doc.xml X0708 D LIVE 0001907169 FBV Bridge V SS1, a Series of FBV Bridge V, LLC 6510 S Millrock Drive Suite 400 Salt Lake City UT UTAH 84121 (801) 419-0677 DELAWARE None None Limited Liability Company true 2022 LLC Assure Fund Management II PO Box 171305 Salt Lake City UT UTAH 84117 Director Issuer's Manager Jeremy Neilson PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Managing Director of the Issuer's Manager Richard Thoms PO Box 171305 Salt Lake City UT UTAH 84117 Executive Officer Officer of the Issuer's Manager Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C.1 false 2022-02-23 false true false 10000 916216 916216 0 false 17 0 0 11500 This amount represents a one-time cost to cover fund organizational and operating expenses. FBV Bridge V SS1, a Series of FBV Bridge V, LLC Richard Thoms Richard Thoms Officer of the Issuer's Manager 2022-02-23