0001964968-23-000001.txt : 20230215 0001964968-23-000001.hdr.sgml : 20230215 20230215161728 ACCESSION NUMBER: 0001964968-23-000001 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: 20230215 DATE AS OF CHANGE: 20230215 EFFECTIVENESS DATE: 20230215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fulcrum Growth Fund V, LLC CENTRAL INDEX KEY: 0001964968 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-473568 FILM NUMBER: 23635585 BUSINESS ADDRESS: STREET 1: 5555 GLENRIDGE CONNECTOR, SUITE 930 CITY: ATLANTA STATE: GA ZIP: 30342 BUSINESS PHONE: 770-551-6331 MAIL ADDRESS: STREET 1: 5555 GLENRIDGE CONNECTOR, SUITE 930 CITY: ATLANTA STATE: GA ZIP: 30342 D 1 primary_doc.xml X0708 D LIVE 0001964968 Fulcrum Growth Fund V, LLC 5555 GLENRIDGE CONNECTOR, SUITE 930 ATLANTA GA GEORGIA 30342 770-551-6331 DELAWARE None None Limited Liability Company true 2022 Frank X. Dalton c/o 5555 Glenridge Connector, Suite 930 Atlanta GA GEORGIA 30342 Director Manager of Fulcrum Fund V Manager, LLC, Manager Jeffrey S. Muir c/o 5555 Glenridge Connector, Suite 930 Atlanta GA GEORGIA 30342 Director James S. Douglass c/o 5555 Glenridge Connector, Suite 930 Atlanta GA GEORGIA 30342 Director Thomas L. Greer c/o 5555 Glenridge Connector, Suite 930 Atlanta GA GEORGIA 30342 Director Philip A. Lewis c/o 5555 Glenridge Connector, Suite 930 Atlanta GA GEORGIA 30342 Director Pooled Investment Fund Venture Capital Fund false Decline to Disclose 06b 3C 3C.1 false 2023-01-31 false true false 0 350000000 7700000 342300000 false 26 0 0 0 false Fulcrum Growth Fund V, LLC /s/ Frank X. Dalton Frank X. Dalton Manager of Fulcrum Fund V Manager, LLC, Manager 2023-02-15