0001393725-22-000190.txt : 20220826 0001393725-22-000190.hdr.sgml : 20220826 20220826113758 ACCESSION NUMBER: 0001393725-22-000190 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)(7) FILED AS OF DATE: 20220826 DATE AS OF CHANGE: 20220826 EFFECTIVENESS DATE: 20220826 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BlueCross BlueShield Venture Partners V, LLC CENTRAL INDEX KEY: 0001942561 IRS NUMBER: 881365437 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-457125 FILM NUMBER: 221201611 BUSINESS ADDRESS: STREET 1: 225. N MICHIGAN AVENUE CITY: CHICAGO STATE: IL ZIP: 60601 BUSINESS PHONE: 312-297-6560 MAIL ADDRESS: STREET 1: 225. N MICHIGAN AVENUE CITY: CHICAGO STATE: IL ZIP: 60601 D 1 primary_doc.xml X0708 D LIVE 0001942561 BlueCross BlueShield Venture Partners V, LLC 225. N MICHIGAN AVENUE CHICAGO IL ILLINOIS 60601 312-297-6560 DELAWARE None None Limited Liability Company true 2022 N/A Blue Cross Blue Shield Association 225 N. Michigan Avenue Chicago IL ILLINOIS 60601 Promoter John Banta 225 N. Michigan Avenue Chicago IL ILLINOIS 60601 Executive Officer President and Managing Director of the Issuer Scott Nehs 225 N. Michigan Avenue Chicago IL ILLINOIS 60601 Executive Officer General Counsel of the Promoter Brad Lubrand 225 N. Michigan Avenue Chicago IL ILLINOIS 60601 Executive Officer Treasurer of the Issuer Patrick Gilligan 101 Huntington Avenue ? Suite 1300 Boston MA MASSACHUSETTS 02199 Executive Officer Chair of the Board of the Issuer Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.1 3C.7 false true false true false 0 Indefinite 0 Indefinite false 0 0 0 0 false BlueCross BlueShield Venture Partners V, LLC /s/ John Banta John Banta President and Managing Director of the Issuer 2022-08-26