0001393725-24-000180.txt : 20240819 0001393725-24-000180.hdr.sgml : 20240819 20240819144746 ACCESSION NUMBER: 0001393725-24-000180 CONFORMED SUBMISSION TYPE: D/A 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: 20240819 DATE AS OF CHANGE: 20240819 EFFECTIVENESS DATE: 20240819 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BlueCross BlueShield Venture Partners V, LLC CENTRAL INDEX KEY: 0001942561 ORGANIZATION NAME: IRS NUMBER: 881365437 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-457125 FILM NUMBER: 241219992 BUSINESS ADDRESS: STREET 1: 200 E. RANDOLPH ST. CITY: CHICAGO STATE: IL ZIP: 60601 BUSINESS PHONE: 312-297-6560 MAIL ADDRESS: STREET 1: 200 E. RANDOLPH ST. CITY: CHICAGO STATE: IL ZIP: 60601 D/A 1 primary_doc.xml X0708 D/A LIVE 0001942561 BlueCross BlueShield Venture Partners V, LLC 200 E. Randolph St. CHICAGO IL ILLINOIS 60601 312-297-6560 DELAWARE None None Limited Liability Company true 2022 N/A Blue Cross Blue Shield Association 200 E. Randolph St. Chicago IL ILLINOIS 60601 Promoter John Banta 200 E. Randolph St. Chicago IL ILLINOIS 60601 Executive Officer President and Managing Director of the Issuer Brad Lubrand 200 E. Randolph St. Chicago IL ILLINOIS 60601 Executive Officer Treasurer of the Issuer Sandra Clarke 601 12th Street Oakland CA CALIFORNIA 94607 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 true 0001393725-23-000147 2022-08-29 true true false 0 Indefinite 366020408 Indefinite false 34 0 0 0 false BlueCross BlueShield Venture Partners V, LLC /s/ John Banta John Banta President and Managing Director of the Issuer 2024-08-19